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.



