Rapid choroidal neovascularization after non-flap internal limiting membrane peeling for macular hole in a patient with AMD: a case report and literature review.
Buğra Karasu, Büşra Yılmaz Tuğan, Enes Kesim et al.
✦ AI-curated · Sources linked
Case in brief
A 70-year-old female with age-related macular degeneration (AMD) underwent uncomplicated macular hole surgery involving non-flap internal limiting membrane (ILM) peeling. Six weeks postoperatively, she experienced a sudden decline in visual acuity due to rapid choroidal neovascularization (CNV) at the ILM peeled-off area. The patient was subsequently treated with intravitreal aflibercept.
What made this case unusual
The rapid onset of CNV following non-flap ILM peeling in a patient with AMD is noteworthy, as this complication is typically rare and often associated with different surgical techniques.
Diagnostic / clinical pearl
Clinicians should be aware that choroidal neovascularization can develop rapidly after standard ILM peeling in patients with underlying AMD, necessitating close monitoring post-surgery.
Why it matters
This case underscores the importance of recognizing potential complications in patients with pre-existing conditions, highlighting the need for vigilance in the postoperative management of macular hole surgeries.