Macular hole formation and spontaneous closure following neodymium-doped yttrium aluminum garnet capsulotomy in a vitrectomized eye

Park, Jongyeop; Son, Yengwoo; Lee, Seung-Woo

doi:10.4103/0301-4738.179722

Cited by 2 publications

(1 citation statement)

References 5 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Spontaneous closure is a rare event. 2 , 3 , 4 When it occurs, the macular hole usually has an inciting cause such as trauma, 5 laser procedure, 6 or intraocular surgeries. 7 , 8 , 9 We present a case of spontaneous closure of an idiopathic stage 4 FTMH with the following unique features: large size, chronic history, history of failed surgical intervention, and association with type 1 neovascular tissue.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous closure of a chronic full thickness macular hole after failed surgery

Lee

Nguyen

Doss

et al. 2019

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

PurposeTo describe an unusual case of spontaneous closure of a chronic, large, idiopathic, stage 4 macular hole after failed surgery.ObservationsA 75-year-old female presented with a history of a chronic, full thickness macular hole after failed surgery in the right eye. Two years after onset, she developed a fibrotic scar, which closed the macular hole and unexpectedly improved her vision. At her 4 year follow up exam, optical coherence tomography demonstrated a stable, closed macular hole with continued improvement in her visual acuity despite lack of surgical and medical intervention.Conclusions and importanceThe spontaneous closure of an idiopathic full thickness macular hole is an unusual event. When it occurs, it is typically in an acute setting and is attributed to bridging retinal tissue, vitreofoveal separation, and a small diameter size. In this report, we show that a chronic, large break, that failed prior surgical intervention, can spontaneously close. The formation of an underlying fibrotic scar from type 1 neovascularization bridged the macular hole and improved her visual acuity.

show abstract