Surgery for macular holes associated with unusual concomitant pathologies
A 32-year-old man with high myopia had a history of RP in both the eyes since 6 years of age. He presented with diminution of vision in the right eye of 1 year duration. BCVA in the right eye was 20/120. Typical RP features were associated with a FTMH in the right eye and retinal pigment epithelial (RPE) atrophy at central macula in the left eye. Same technique as in case one was followed for the surgical repair. At 2 months follow-up, ophthalmoscopy showed type 2 closures of the MH with flat edges. BCVA noted was 20/200 in the right eye. One year later he underwent phacoemulsification with intraocular lens (IOL) implantation and yttrium aluminium garnet laser (YAG) capsulotomy 4 years later. Last follow-up at 5½ years from the surgery showed type 2 closure of MH; BCVA was 20/2000 in the right eye.