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Title

ULTRA-WIDE FIELD IMAGING OF AN OPERATED MACULAR HOLE IN GYRATE ATROPHY (PHOTO ESSAY)

Pages

 Start Page 336 | End Page 337

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Abstract

 PRESENTATION: 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 mm; 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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