Macular Hole Secondary to Pneumatic Retinopexy

Abstract

To the Editor. —Pneumatic retinopexy with expandable gas is gaining popularity as an alternative method of treating superior rhegmatogenous retinal detachments. Several complications have been reported with this procedure. We recently observed the occurrence of a macular hole in one patient that developed shortly after she received an intraocular injection of sulfur hexafluoride. We believe that the macular hole was related to and is an important complication of this procedure. Report of a Case. —A 64-year-old woman presented with a one-week history of blurred vision in her right eye. Best corrected visual acuity was 20/200 OD. Retinal examination revealed a very bullous detachment from the 8-o'clock to 2:30 positions in a clockwise direction. Two semilunar tears and a small round hole were noted at the 1-o'clock position; a round hole on flat retina was visualized at the 5:30 position. The macula was detached but otherwise intact (Figure). The patient was