Multiple Parafoveal Holes after Pars Plana Vitrectomy for Retinal Detachment Surgery

Authors

DOI:

https://doi.org/10.3126/nepjoph.v17i1.61180

Keywords:

Internal limiting membrane, parafoveal retinal holes, pars plana vitrectomy.

Abstract

Introduction: To report a case of secondary multiple parafoveal holes after internal limiting membrane (ILM) peeling in case of a vitrectomy surgery for rhegmatogenous retinal detachment.

Case: Thirty-two years old male myopic patient presented with total rhegmatogenous retinal detachment with vision of counting fingers with proliferative vitreoretinopathy (PVR) grade B. He underwent right eye Belt buckle with uncomplicated pars plana vitrectomy with ILM peeling with silicon oil insertion.

Observation: On routine follow up, multiple eccentric parafoveal retinal holes were noticed after two months of pars plana vitrectomy (PPV) which remained stable six months post silicon oil removal with visual acuity (VA) 20/80.

Conclusion: Parafoveal retinal holes may develop due to mechanical surgical trauma leading to retinal weakening caused by muller cell damage followed by a hole formation.

Downloads

Download data is not yet available.
Abstract
0

Additional Files

Published

2025-11-13

How to Cite

Paliwal, S., Upadhyay, P., & Patel, S. (2025). Multiple Parafoveal Holes after Pars Plana Vitrectomy for Retinal Detachment Surgery. Nepalese Journal of Ophthalmology, 17(1), 61–5. https://doi.org/10.3126/nepjoph.v17i1.61180

Issue

Nepalese Journal of Ophthalmology 2025; Volume 17 Number 1 Issue 33

Section

Case Reports

License

Copyright (c) 2025 Nepalese Journal of Ophthalmology

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This license enables reusers to copy and distribute the material in any medium or format in unadapted form only, for noncommercial purposes only, and only so long as attribution is given to the creator.