Abstract：
OBJECTIVE: To describe a case of concurrent rhegmatogenous retinal detachment, choroidal detachment, and macular hole (RRD-CD-MH) formation in a patient after uncomplicated cataract extraction and intraocular lens implantation (CEIOL). In addition, we summarize the previously reported cases of RRD-CD-MH in the literature.
METHODS: Interventional case report and literature review.
RESULTS: A 71-year-old white man without relevant medical or ocular history underwent an uncomplicated CEIOL. He presented with counting fingers vision and intraocular pressure of 5 mmHg after 3 weeks. On dilated fundus examination, multiple superior tears and total RRD with a serous CD was evident. Intraoperatively, a full-thickness MH was identified. The patient underwent routine RRD and MH repair, with instillation of 1,000 centistoke silicone oil (SiO). The retina successfully re-attached, the CD resolved, and the intraocular pressure normalized; however, the MH did not initially close. The SiO was removed approximately 4 months later and, while the MH remained open, the patient\'s vision improved to 20/80. Approximately three years after the surgical repair, the MH closed spontaneously, and the vision remained at 20/80.
CONCLUSIONS: Our patient developed an RRD-CD-MH after uncomplicated CEIOL. The MH displayed delayed closure. The vision improved after surgical repair, and remained stable in the long term.
METHODS: Interventional case report and literature review.
RESULTS: A 71-year-old white man without relevant medical or ocular history underwent an uncomplicated CEIOL. He presented with counting fingers vision and intraocular pressure of 5 mmHg after 3 weeks. On dilated fundus examination, multiple superior tears and total RRD with a serous CD was evident. Intraoperatively, a full-thickness MH was identified. The patient underwent routine RRD and MH repair, with instillation of 1,000 centistoke silicone oil (SiO). The retina successfully re-attached, the CD resolved, and the intraocular pressure normalized; however, the MH did not initially close. The SiO was removed approximately 4 months later and, while the MH remained open, the patient\'s vision improved to 20/80. Approximately three years after the surgical repair, the MH closed spontaneously, and the vision remained at 20/80.
CONCLUSIONS: Our patient developed an RRD-CD-MH after uncomplicated CEIOL. The MH displayed delayed closure. The vision improved after surgical repair, and remained stable in the long term.
摘要：
目的：描述一例并发的孔源性视网膜脱离，脉络膜脱离,1例单纯白内障摘除人工晶状体植入术(CEIOL)后形成黄斑裂孔(RRD-CD-MH)。此外,我们总结了文献中先前报道的RRD-CD-MH病例。
方法：介入病例报告及文献复习。
结果：一名没有相关既往病史或眼部病史的71岁白人男子接受了无并发症的CEIOL。三周后，他的手指视力和眼内压（IOP）为5mmHg。在扩张的眼底检查中，多个上泪液和总RRD与浆液性CD是明显的。术中,确定了全厚度MH。患者接受常规RRD和MH修复，滴注1000厘斯硅油（SiO）。视网膜成功地重新连接,CD解决了,和IOP正常化;然而，MH最初没有关闭。4个月后，SiO被移除，当MH保持开放时，患者的视力提高到20/80。手术修复后大约三年，MH自发关闭，视力保持在20/80。
结论：我们的患者在无并发症CEIOL后出现RRD-CD-MH。MH显示延迟关闭。手术修复后视力改善，并长期保持稳定。
方法：介入病例报告及文献复习。
结果：一名没有相关既往病史或眼部病史的71岁白人男子接受了无并发症的CEIOL。三周后，他的手指视力和眼内压（IOP）为5mmHg。在扩张的眼底检查中，多个上泪液和总RRD与浆液性CD是明显的。术中,确定了全厚度MH。患者接受常规RRD和MH修复，滴注1000厘斯硅油（SiO）。视网膜成功地重新连接,CD解决了,和IOP正常化;然而，MH最初没有关闭。4个月后，SiO被移除，当MH保持开放时，患者的视力提高到20/80。手术修复后大约三年，MH自发关闭，视力保持在20/80。
结论：我们的患者在无并发症CEIOL后出现RRD-CD-MH。MH显示延迟关闭。手术修复后视力改善，并长期保持稳定。
