Managing macular hole associated with acute inflammatory Vogt-Koyanagi-Harada syndrome.

Navarro, Rodrigo M; Guizilini, Gisele C; Machado, Leonardo M; Maia, Mauricio

Navarro, Rodrigo M; Guizilini, Gisele C; Machado, Leonardo M; Maia, Mauricio.

Afiliação

Navarro RM; Vitreoretinal Diseases Unit, Brazilian Institute of Fighting Against Blindness, São Paulo, Brazil.
Guizilini GC; Vitreoretinal Diseases Unit, Federal University of São Paulo, Vision Institute, São Paulo, Brazil.
Machado LM; Vitreoretinal Diseases Unit, Federal University of São Paulo, Vision Institute, São Paulo, Brazil.
Maia M; Vitreoretinal Diseases Unit, Brazilian Institute of Fighting Against Blindness, São Paulo, Brazil.

Int J Retina Vitreous ; 1: 18, 2015.

Article em En | MEDLINE | ID: mdl-27847611

RESUMO

We report a 24-year-old man with Vogt-Koyanagi-Harada (VKH) syndrome who developed a macular hole (MH) during the acute inflammatory stage. Spontaneous resolution was unlikely because of the MH dimensions and absence of vitreous adherence. The patient underwent pars plana vitrectomy (PPV) and internal limiting membrane peeling during the acute stage followed by retinopexy with octafluoropropane injection and prone positioning for 5 days. The MH closed and the best-corrected visual acuity (BCVA) improved from 20/400 to 20/40. Prompt surgical intervention may be an alternative for treating MHs and obtaining visual recovery in special cases even in the acute inflammatory stage.

Palavras-chave

Macular hole; Pars plana vitrectomy; Vogt-Koyanagi-Harada syndrome

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Int J Retina Vitreous Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

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