Development of an Eccentric Macular Hole Followed by Reopening of the Original Macular Hole as a Long-term Sequelae of Internal Limiting Membrane Peeling and Focal Laser Photocoagulation: A Case Report

A macular hole (MH) is a widely known disease among ophthalmologists. Vitrectomy with internal limiting membrane (ILM) peeling standard technique for full-thickness MHs. However, the recurrence of MHs sometimes seen. In addition, an eccentric MH to rarely occur after vitrectomy. An has been considered require no therapeutic intervention because its lack increase in size. This study reports case two (a recurrent and enlarged MH) developed laser photocoagulation around injured retina caused by ILM at initial surgery. 56-year-old woman presented idiopathic her left eye best-corrected visual acuity (BCVA) was decreased 20/80. She underwent phacoemulsification vitrectomy combined posterior hyaloid removal, peeling, 20% sulfur hexafluoride gas tamponade. During we performed within arcade. The successfully closed BCVA improved 20/20 one month Eight months surgery, occurred next spots. remained 20/20; thus, just followed up on eye. Six years 20/200. increased size original re-opened. second performed, but had already peeled arcade during previous surgery usable sufficient which could be auto-transplanted holes not obtained. Thus, free flaps lens capsule were harvested placed each hole. Two 10/20 three Laser derived from may risk