Macular buckling and pars plana vitrectomy for retinitis pigmentosa with posterior staphyloma and macular hole

Abstract

We describe a case of myopic macular hole (MMH) associated with posterior pole staphyloma (PPS) and foveal detachment (FD) complicated by the presence of Retinitis Pigmentosa (RP). The patient underwent combined macular buckling (MB) and pars plana vitrectomy (PPV). Two month post-operatively, the optical coherence tomography (OCT) showed a closed macular hole with flattened posterior pole. The challenges posed by a FD due to a MMH complicated both by a PPS and RP have been elaborated. A significant anatomical and visual improvement was achieved, providing better central vision in a patient with already compromised peripheral vision.