Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?

Marilita M Moschos,1 Zisis Gatzioufas,2 Tryfon Rotsos,1 Chrysanthos Symeonidis,3 Xuefei Song,2 Berthold Seitz2 11st Department of Ophthalmology, University of Athens, Athens, Greece; 2Department of Ophthalmology, University of Saarland, Homburg/Saar, Germany; 32nd Department of Ophthalmology, Aristo...

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Autores principales:	Moschos MM, Gatzioufas Z, Rotsos T, Symeonidis C, Song X, Seitz B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/eb70131fb1614cfe8779b6a69afa8b8c
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spelling	oai:doaj.org-article:eb70131fb1614cfe8779b6a69afa8b8c2021-12-02T07:23:16ZMacular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?1177-54671177-5483https://doaj.org/article/eb70131fb1614cfe8779b6a69afa8b8c2013-07-01T00:00:00Zhttp://www.dovepress.com/macular-hole-formation-in-a-patient-with-irvine-gass-syndrome-coincide-a13661https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Marilita M Moschos,1 Zisis Gatzioufas,2 Tryfon Rotsos,1 Chrysanthos Symeonidis,3 Xuefei Song,2 Berthold Seitz2 11st Department of Ophthalmology, University of Athens, Athens, Greece; 2Department of Ophthalmology, University of Saarland, Homburg/Saar, Germany; 32nd Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Macedonia, Greece Background: Macular edema (ME) is caused by abnormal retinal capillary permeability and has also been described as a postoperative complication of cataract surgery (Irvine-Gass syndrome). Objective: To present a patient with Irvine-Gass syndrome in the right eye complicated with a macular hole (MH) in the same eye and possible associations between these two entities. Case report: A 72-year-old male with a history of uneventful bilateral cataract surgery was followed-up with biomicroscopy and optical coherence tomography (OCT). Four weeks after cataract surgery oculus dexter (OD), there was progressive visual deterioration (best corrected visual acuity [BCVA]: 0.5). OCT disclosed cystoid ME. A parabulbar triamcinolone injection, dexamethasone 0.1% and ketorolac 0.4% eye drops, both 4 times per day OD were administered. Six weeks later (BCVA OD: 0.2), OCT revealed cystoid ME and full-thickness MH. Conclusion: ME secondary to diabetes or central retinal vein occlusion may lead to MH by inducing focal vitreomacular traction and by triggering inflammatory mechanisms which facilitate a marked thinning of the fovea. MH may occur even in cases of pseudophakic ME, representing a rare complication of Irvine-Gass syndrome. Keywords: Irvine-Gass syndrome, macular hole, macular edemaMoschos MMGatzioufas ZRotsos TSymeonidis CSong XSeitz BDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1437-1439 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Moschos MM Gatzioufas Z Rotsos T Symeonidis C Song X Seitz B Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?
description	Marilita M Moschos,1 Zisis Gatzioufas,2 Tryfon Rotsos,1 Chrysanthos Symeonidis,3 Xuefei Song,2 Berthold Seitz2 11st Department of Ophthalmology, University of Athens, Athens, Greece; 2Department of Ophthalmology, University of Saarland, Homburg/Saar, Germany; 32nd Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Macedonia, Greece Background: Macular edema (ME) is caused by abnormal retinal capillary permeability and has also been described as a postoperative complication of cataract surgery (Irvine-Gass syndrome). Objective: To present a patient with Irvine-Gass syndrome in the right eye complicated with a macular hole (MH) in the same eye and possible associations between these two entities. Case report: A 72-year-old male with a history of uneventful bilateral cataract surgery was followed-up with biomicroscopy and optical coherence tomography (OCT). Four weeks after cataract surgery oculus dexter (OD), there was progressive visual deterioration (best corrected visual acuity [BCVA]: 0.5). OCT disclosed cystoid ME. A parabulbar triamcinolone injection, dexamethasone 0.1% and ketorolac 0.4% eye drops, both 4 times per day OD were administered. Six weeks later (BCVA OD: 0.2), OCT revealed cystoid ME and full-thickness MH. Conclusion: ME secondary to diabetes or central retinal vein occlusion may lead to MH by inducing focal vitreomacular traction and by triggering inflammatory mechanisms which facilitate a marked thinning of the fovea. MH may occur even in cases of pseudophakic ME, representing a rare complication of Irvine-Gass syndrome. Keywords: Irvine-Gass syndrome, macular hole, macular edema
format	article
author	Moschos MM Gatzioufas Z Rotsos T Symeonidis C Song X Seitz B
author_facet	Moschos MM Gatzioufas Z Rotsos T Symeonidis C Song X Seitz B
author_sort	Moschos MM
title	Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?
title_short	Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?
title_full	Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?
title_fullStr	Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?
title_full_unstemmed	Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?
title_sort	macular hole formation in a patient with irvine-gass syndrome: coincidence or rare complication?
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/eb70131fb1614cfe8779b6a69afa8b8c
work_keys_str_mv	AT moschosmm macularholeformationinapatientwithirvinegasssyndromecoincidenceorrarecomplication AT gatzioufasz macularholeformationinapatientwithirvinegasssyndromecoincidenceorrarecomplication AT rotsost macularholeformationinapatientwithirvinegasssyndromecoincidenceorrarecomplication AT symeonidisc macularholeformationinapatientwithirvinegasssyndromecoincidenceorrarecomplication AT songx macularholeformationinapatientwithirvinegasssyndromecoincidenceorrarecomplication AT seitzb macularholeformationinapatientwithirvinegasssyndromecoincidenceorrarecomplication
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Macular hole formation in a patient with Irvine-Gass syndrome: coincidence or rare complication?

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