Early closure of macular hole secondary to rhegmatogenous retinal detachment with internal limiting membrane peeling.

The authors report rapid closure of macular holes secondary to rhegmatogenous retinal detachment with internal limiting membrane peeling. Four patients with macular hole and macula-off rhegmatogenous retinal detachment underwent belt buckling, vitrectomy, and silicone oil tamponade. The internal limiting membrane was removed using trypan blue dye. Preoperative visual acuity ranged from hand motions to 4/60. Optical coherence tomography was performed preoperatively and postoperatively on day 1 and at each visit. One day postoperatively, the retina was attached and macular holes were closed. Follow-up ranged from 6 to 12 months (mean: 9.5 months). Visual acuity improved significantly in all patients.