To describe the first reported cases of full-thickness macular holes secondary to vitelliform lesions that were successfully closed with vitrectomy surgery and gas tamponade.
Two female patients developed visual loss secondary to bilateral vitelliform lesions and associated full-thickness macular holes. The patients underwent 25-gauge pars plana vitrectomy, internal limiting membrane peeling, and 26% sulfur hexafluoride gas, followed by 3 days of face-down positioning.
In both patients, the macular holes remain closed 3 and 25 months postoperatively.
Vitrectomy surgery with gas tamponade may successfully close full-thickness macular holes secondary to macular vitelliform lesions.
The authors describe the first reported cases of successful closure of full-thickness macular holes secondary to vitelliform lesions, after vitrectomy surgery and gas tamponade.
*Deakin University, Geelong, Victoria, Australia;
†Sydney Hospital, Sydney Eye Hospital, Sydney, New South Wales, Australia;
‡Department of Ophthalmology, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia;
§Save Sight Institute, University of Sydney, Sydney, New South Wales, Australia; and
¶Department of Ophthalmology, Westmead Hospital, Sydney, New South Wales, Australia.
Reprint requests: Adrian T. Fung, MBBS (Hons I), MMed (Ophthalmic Science, Clinical Epidemiology), FRANZCO, Retina & Macular Specialists, 1A/12 Central Road, Miranda, NSW 2228, Australia; e-mail: firstname.lastname@example.org
None of the authors has any financial/conflicting interests to disclose.