open access

Vol 4 (2019): Continuous Publishing
CASE REPORTS
Published online: 2019-07-31
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Spontaneous closure of stage two idiopathic macular hole with persistent vitreous attachment

Rashed Mustafa Nazzal, Dominika Wrzesińska, Katarzyna Nowomiejska, Robert Rejdak
DOI: 10.5603/OJ.2019.0006
·
Ophthalmol J 2019;4:49-51.

open access

Vol 4 (2019): Continuous Publishing
CASE REPORTS
Published online: 2019-07-31

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.

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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Keywords

idiopathic macular hole; spontaneous closure; optical coherence tomography

About this article
Title

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

Journal

Ophthalmology Journal

Issue

Vol 4 (2019): Continuous Publishing

Pages

49-51

Published online

2019-07-31

DOI

10.5603/OJ.2019.0006

Bibliographic record

Ophthalmol J 2019;4:49-51.

Keywords

idiopathic macular hole
spontaneous closure
optical coherence tomography

Authors

Rashed Mustafa Nazzal
Dominika Wrzesińska
Katarzyna Nowomiejska
Robert Rejdak

References (10)
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