Secondary Full-thickness Macular Holes after Diabetic Vitrectomy: Clinical Manifestations and Rational Approaches to the Treatment

Figure 3

(a, b) Preoperative ultrasonography shows dense vitreous hemorrhage. Grade 3 fibrovascular proliferation and tractional retinal detachment are noted intraoperatively. (c, d) Five weeks after surgery, recurrent retinal detachment, full-thickness macular hole (MH), and temporal lower anterior proliferative vitreoretinopathy develop. (e, f) The retina is attached, and the MH is sealed after perfluorocarbon-assisted inferior 150-degree retinectomy, neurosensory retina-free flap insertion, and intravitreal silicone oil injection.