A 65- year old lady came with complaints of dimness of vision in both eyes for the last 4-6 months. She had no history of any systemic disease. Her vision in the right eye was 6/60 and left eye was 6/18. Intraocular Pressures were 12 and 14. Ocular examination showed Immature senile cataract in the left eye with very early lenticular changes in the right eye. Fundus right eye showed a Full Thickness Macular Hole while the left eye retina was normal. The patient was experiencing more problems in the right eye and wanted some remedial measures. She was explained about the longstanding nature of the hole and told that the corrective surgery may not close the hole or even on closure the visual improvement may not be much.
She opted to undergo surgery i.e. Vitrectomy with ILM peeling
and intraocular gas injection. She was quite cooperative for the
postoperative face down position she had to maintain for 10-15 days. 6
weeks post surgery her macular hole had closed, which was confirmed on
Optical Coherence Tomography and her vision had improved to 6/24.