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Bulgarian Review of Ophthalmology

Macular hole (MH) as a complication of vitreous surgery - clinical cases

Vasil Atanasov Dimitrov, Nikol Gavrilova Nikolova, Borislav Dabov


Aim: The aim of this article is to analyze the causes of postoperative occurrence of full thickness macular hole after vitreous surgery.

Materials and Methods: We have conducted a retrospective study of the medical documentation of two patients (2 eyes) who had undergone vitreous intervention in the period 2016-2018. Both eyes were subjected to native fundus photography and optical coherent tomography (OCT), postoperatively, with one of them being examined by OCT after a reoperation. 

Results: The mean period of time between the surgery and the macular hole diagnosis was 14 months.

Patient 1: Vitrectomy due to retinal detachment - 27 months.

Patient 2: PPV due to PDR - 30 days.

Conclusion: In both cases, the lack of peeling of the inner limiting membrane, membrana limitans interna (MLI), led to the formation of a full thickness macular hole of medium size.


macular hole, vitreous surgery

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About The Authors

Vasil Atanasov Dimitrov
St. Anna University Hospital

Nikol Gavrilova Nikolova
St. Anna University Hospital

Borislav Dabov
Resbiomed Medical Center