PURPOSE: The aim of this article is to present paracentral defects after macular hole surgery with spectral optical coherence tomography and to discuss its influence on functional outcome. METHODS: The authors report a spectral optical coherence tomography documented case of paracentral retinal defects in a patient after macular hole surgery. A spectral optical coherence tomography device with an axial resolution of 3 μm was used. The 3-dimensional examination scanned an area of 7 × 7 mm around the macula. Additionally HRT2, macular module scans were performed. RESULTS: A 70-year-old man underwent surgery for macular hole. Best-corrected visual acuity was 0.2 for 2 years after surgery. Paracentral retinal defects, first observed 1 week after surgery, tended to decrease in size. CONCLUSION: Full-thickness paracentral retinal holes are a rare vitrectomy complication. In this study, we suggest that the cause of those defects can be internal limiting membrane peeling itself, with no component of direct mechanical trauma.
PURPOSE: The aim of this article is to present paracentral defects after macular hole surgery with spectral optical coherence tomography and to discuss its influence on functional outcome. METHODS: The authors report a spectral optical coherence tomography documented case of paracentral retinal defects in a patient after macular hole surgery. A spectral optical coherence tomography device with an axial resolution of 3 μm was used. The 3-dimensional examination scanned an area of 7 × 7 mm around the macula. Additionally HRT2, macular module scans were performed. RESULTS: A 70-year-old man underwent surgery for macular hole. Best-corrected visual acuity was 0.2 for 2 years after surgery. Paracentral retinal defects, first observed 1 week after surgery, tended to decrease in size. CONCLUSION: Full-thickness paracentral retinal holes are a rare vitrectomy complication. In this study, we suggest that the cause of those defects can be internal limiting membrane peeling itself, with no component of direct mechanical trauma.