Macular Hole Formation Identified With Intraoperative Oct During Vitrectomy for Vitreomacular Traction Syndrome

PURPOSE: To report the identification of macular hole formation using intraoperative optical coherence tomography (OCT) during vitrectomy for vitreomacular traction syndrome. METHODS: A 58-year-old woman with vitreomacular traction syndrome underwent the vitrectomy using the 25-gauge system with scanning the macular area using the integrated and intraoperative OCT (Rescan 700, Zeiss). When posterior vitreous detachment at the fovea was performed using a vitreous cutter, the hyperreflective tissue thought to be the rupture of the internal limiting membrane and the full-thickness macular hole were identified on the horizontal and vertical scans simultaneously in intraoperative OCT. RESULTS: The procedure was completed after internal limiting membrane peeling and 25% SF6 gas tamponade for closure of macular hole. The closure was confirmed using Swept-Source OCT 1-month after surgery. CONCLUSION: It is possible to change the surgical approach using the real-time intraoperative OCT because the development of macular hole can be visualized during vitrectomy for vitreomacular traction syndrome.