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Macular hole and tractional retinal detachment secondary to proliferative sickle cell retinopathy

Published:September 21, 2021DOI:https://doi.org/10.1016/j.jcjo.2021.08.015
      A 38-year-old female presented with gradual visual deterioration in the right eye. Visual acuity was 20/60, and there was a full-thickness macular hole with epiretinal membrane. There was extensive preretinal proliferation with a prominent temporal neovascular complex and localized tractional retinal detachment. While initially no significant medical history was reported, on more directed history, the patient reported a diagnosis of sickle cell disease made after a crisis during a prior pregnancy. Fluorescein-guided laser photocoagulation was performed to the ischemic areas, and subsequent vitrectomy was performed with careful dissection and membrane peeling. The macular hole closed successfully, and vision improved to 20/30. Fig. 1
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