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BMJ Case Rep. 2010; 2010: bcr11.2009.2488.
Published online 2010 May 11. doi:  10.1136/bcr.11.2009.2488
PMCID: PMC3047528
Unusual presentation of more common disease/injury

Saved by the buckle: primary buckle vitrectomy for macular hole detachment due to rapid progression of premacular fibrosis in acute retinal necrosis


This report describes the rapid progress of a case of unilateral acute retinal necrosis (ARN) that led to formation of a macular hole rhegmatogenous retinal detachment with advanced proliferative vitreo-retinopathy (PVR) changes over the space of 2 weeks. This necessitated primary vitrectomy with circumferential scleral buckle placement, which facilitated reattachment of the retina.

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