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Spontaneous closure of stage two idiopathic macular hole with persistent vitreous attachment
Affiliations- Department of Surgery/Ophthalmology, King Hussein Cancer Center (KHCC), Amman, Jordan
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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.
Keywords
idiopathic macular hole; spontaneous closure; optical coherence tomography
About this articleTitle
Spontaneous closure of stage two idiopathic macular hole with persistent vitreous attachment
Journal
Issue
Vol 4 (2019): Continuous Publishing
Article type
Case report
Pages
49-51
Published online
2019-07-31
Page views
656
Article views/downloads
671
DOI
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
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