SPONTANEOUS CLOSURE OF AN IDIOPATHIC MACULAR HOLE 9 MONTHS AFTER UNSUCCESSFUL VITREORETINAL SURGERY
- 1 January 2014
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in RETINAL Cases & Brief Reports
- Vol. 8 (3), 157-160
- https://doi.org/10.1097/icb.0000000000000030
Abstract
To report spontaneous closure of a persistent idiopathic macular hole (MH) 9 months after cataract and vitreoretinal surgery, and subsequent gas reinjection. Baseline and follow-up examinations after surgery included slit-lamp biomicroscopy, best-corrected distance visual acuity and near visual acuity, spectral domain optical coherence tomography, and microperimetry. Spectral domain optical coherence tomography scans showed a persistent MH after surgery until 5 months of follow-up, with an increasing base diameter of the MH and decreasing best-corrected visual acuity. Nine months after surgery, spontaneous closure of the MH with an improvement in best-corrected visual acuity was observed. These findings remained stable at 15 months of follow-up, with an additional increase in retinal sensitivity. Spontaneous closure of a persistent Stage 3 full-thickness MH after primary surgery is possible. We recommend follow-up examinations including spectral domain optical coherence tomography for several months before scheduling a reoperation.Keywords
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