Ultra-wide field imaging of an operated macular hole in gyra
Medical records of a 46-year-old woman with bilateral myopia, gyrate atrophy, and history of night blindness were reviewed. The patient underwent macular hole surgery in the left eye 3 years back. The surgery consisted of pars plana vitrectomy (PPV), induction of posterior vitreous detachment (PVD), internal limiting membrane (ILM) peeling, and fluid-air exchange. She had serum ornithine level of 784 nmole/ml and a best-corrected visual acuity (BCVA) of 1/60 (with correcting lens of ?7.25D) in the left eye preoperatively with early posterior subcapsular cataract and a large macular hole (diameter :1254 ?m; Cirrus HD-OCT, Carl Zeiss Meditec, Dublin, CA, USA) with round localized neurosensory retinal detachment at the posterior pole. At month 3 after the operation, 6/60 vision (with correcting lens of -8.00-1.00×100) in the left eye was documented, which remained unchanged. Six months after the operation, she underwent cataract surgery with implantation of a posterior chamber intraocular lens in the capsular bag in the left eye.

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