We report a rare case of rhegmatogenous retinal detachment due to a
full-thickness macular hole in a young patient with pars planitis. This
study was an interventional case report. A 38-year-old Asian man
presented with acute reduction of vision in his left eye. His past
ocular history revealed a precedent of two intravitreal steroid
injections in his left eye, and fundoscopy revealed a total bullous
retinal detachment along with 360 degrees snowbanking at the pars plana.
Precise preoperative visualization of the posterior pole was impossible
due to a dense nuclear cataract. During surgery, an unexpected
full-thickness macular hole with no associated epiretinal membrane was
observed, which resulted in the retinal detachment. This case of chronic
pars planitis complicated with a full-thickness macular hole resulting
in retinal detachment was successfully treated with vitrectomy, internal
limiting membrane peeling, and perfluoropropane tamponade. Visual acuity
improved from hand movements to 6/36 Snellen at 12 months postsurgery.
This case report illustrates the rare but possible association between
pars planitis with macular hole formation and subsequent retinal
detachment, underlying the beneficiary outcome of vitrectomy surgery
both diagnostically and therapeutically