Vol 4 (2019): Continuous Publishing
Case report
Published online: 2019-07-31

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Spontaneous closure of stage two idiopathic macular hole with persistent vitreous attachment

Rashed Mustafa Nazzal1, Dominika Wrzesińska1, Katarzyna Nowomiejska1, Robert Rejdak1
Ophthalmol J 2019;4:49-51.

Abstract

The classical rule was so far to observe idiopathic macular holes of stage 1a and 1b because of the high probability of spontaneous closure of the hole, while in higher stages surgical treatment was recommended. However, a growing number of case reports are available nowadays that suggest that even a more advanced stage macular hole may occasionally close spontaneously. In this article, we present a case of a 71-year-old female patient who presented with gradual bilateral decrease of vision, which was attributed to a combination of cataract and macular holes in both eyes. The macular hole in one eye was stage 1A and the other eye was stage 2. Follow up over a period of 6 months revealed conversion of the stage 1A hole to lamellar hole and spontaneous closure of the stage 2 hole.

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References

  1. Johnson RN, Gass JD. Idiopathic macular holes. Observations, stages of formation, and implications for surgical intervention. Ophthalmology. 1988; 95(7): 917–924.
  2. Yuzawa M, Watanabe A, Takahashi Y, et al. Observation of idiopathic full-thickness macular holes. Follow-up observation. Arch Ophthalmol. 1994; 112(8): 1051–1056.
  3. Sugiyama A, Imasawa M, Chiba T, et al. Reappraisal of spontaneous closure rate of idiopathic full-thickness macular holes. Open Ophthalmol J. 2012; 6: 73–74.
  4. Privat E, Tadayoni R, Gaucher D, et al. Residual defect in the foveal photoreceptor layer detected by optical coherence tomography in eyes with spontaneously closed macular holes. Am J Ophthalmol. 2007; 143(5): 814–819.
  5. Yamashita T, Uemara A, Uchino E, et al. Spontaneous closure of traumatic macular hole. Am J Ophthalmol. 2002; 133(2): 230–235.
  6. Chen H, Chen W, Zheng K, et al. Prediction of spontaneous closure of traumatic macular hole with spectral domain optical coherence tomography. Sci Rep. 2015; 5: 12343.
  7. Menchini U, Virgili G, Giacomelli G, et al. Mechanism of spontaneous closure of traumatic macular hole: OCT study of one case. Retina. 2003; 23(1): 104–106.
  8. Kelkar AS, Bhanushali DR, Kelkar JA, et al. Spontaneous Closure of a Full-Thickness Stage 2 Idiopathic Macular Hole without Posterior Vitreous Detachment. Case Rep Ophthalmol. 2013; 4(3): 188–191.
  9. Kim JW, Freeman WR, el-Haig W, et al. Baseline characteristics, natural history, and risk factors to progression in eyes with stage 2 macular holes. Results from a prospective randomized clinical trial. Vitrectomy for Macular Hole Study Group. Ophthalmology. 1995; 102(12): 1818–1828.
  10. Guyer DR, Green WR, de Bustros S, et al. Histopathologic features of idiopathic macular holes and cysts. Ophthalmology. 1990; 97(8): 1045–1051.