Evolution and Management of a Post-Uveitis Macular Hole.

The case of a 44-year-old woman who was under treatment for bilateral recurrent anterior uveitis with chronic cystoid macular edema for two and a half years. She presented with an acute visual decline in her left eye, and was found to have a lamellar macular hole in the right eye and a full-thickness macular hole in the left eye. She underwent vitrectomy, internal limiting membrane peeling and perfluoropropane (C(3)F(8)) gas tamponade with simultaneous cataract extraction in the left eye. Her best-corrected visual acuity improved from 4/60 to 6/36 postoperatively, with closure of macular hole. Four months following vitrectomy, she developed cystoid macular edema in the operated eye, with a drop in vision to 6/60. An intravitreal injection of triamcinolone acetonide resulted in recovery of visual acuity 6/24, which was maintained till the last follow-up. Copyright 2010, SLACK Incorporated.