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Clinical Sciences
April 1998

Spontaneous Resolution of Retinal Detachment Occurring After Macular Hole Surgery

Author Affiliations

From the Departments of Ophthalmology and Visual Sciences (Drs Akduman, Del Priore, and Kaplan) and Biochemistry and Molecular Biophysics (Dr Del Priore), Washington University School of Medicine, St Louis, Mo. None of the authors has a proprietary interest in any of the materials mentioned in this article.

Arch Ophthalmol. 1998;116(4):465-467. doi:10.1001/archopht.116.4.465

Objective  To document the spontaneous resolution of retinal detachment developing after macular hole surgery.

Methods  We identified all patients who developed a postoperative retinal detachment after undergoing macular hole surgery at Washington University School of Medicine, St Louis, Mo; the surgery was performed by one of us (L.V.D.P. or H.J.K.) between 1991 and 1996.

Results  Six of 73 eyes developed a postoperative retinal detachment; the retinal detachment was inferior in all cases. Two eyes that had inferior retinal breaks underwent further surgery to repair the retinal detachment. Retinal breaks could not be identified in the other 4 eyes; the retinal detachment resolved without further surgery in all 4 of these eyes.

Conclusion  The recognition that retinal detachment occurring after macular hole surgery can resolve without additional surgery may result in the avoidance of further surgical intervention in some eyes.