Spontaneous closure of stage 2 macular hole after cataract surgery

Abstract

We report a case of 64-year-old female, presented with decreased vision in left eye, for 3 months. Her vision was 20/30, N6 in right eye and 20/200 and N36 in left eye. She had nuclear sclerosis grade 2 and optical coherence tomography showed stage-2 macular hole in left eye. The macular hole diameter was 286 microns and the basal dimeter of 486 microns. The patient underwent cataract surgery with intraocular lens implantation in left eye. At 1 month, an inner retinal layer apposition was noted with subsequent inner to outer retinal apposition, resulting in complete spontaneous closure at the 3rd month follow up with visual acuity gain of 20/40, N8. This case highlights that stage-2 macular hole can close spontaneously with relief of vitreomacular traction.