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AMNIOTIC MEMBRANE GRAFTING FOR A CASE OF BILATERAL GIANT FULL-THICKNESS MACULAR HOLE IN ALPORT SYNDROME AFTER CATARACT SURGERY.

Authors :
Roubelat, François-Philippe
Gualino, Vincent
Fournié, Pierre R.
Soler, Vincent J.
Source :
Retinal Cases & Brief Reports; Jul2024, Vol. 18 Issue 4, p521-525, 5p
Publication Year :
2024

Abstract

Purpose: The purpose of this study was to describe the surgical management of bilateral giant full-thickness macular hole with sudden onset two months after cataract surgery in a patient with Alport syndrome. Methods: This was an observational, single-case report. Results: A 54-year-old woman with a history of Alport syndrome presented with severe bilateral visual loss two months after cataract surgery. The diagnosis of bilateral giant fullthickness macular hole was made. We found the absence of the internal limiting membrane and the inability to lift and peel a continuous posterior hyaloid sheet during surgical management with 25-gauge pars plana vitrectomy (left eye). Amniotic membrane grafting followed by gas tamponade were performed for hole closure. The hole remained closed but vision was poorly restored two months after. Conclusion: Cataract surgery in patients with Alport syndrome could promote early development of giant full-thickness macular hole. Collagen defects could underlie internal limiting membrane absence and the inability to properly peel the posterior hyaloid. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
19351089
Volume :
18
Issue :
4
Database :
Supplemental Index
Journal :
Retinal Cases & Brief Reports
Publication Type :
Academic Journal
Accession number :
178410256
Full Text :
https://doi.org/10.1097/icb.0000000000001428