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RETINAL Cases & Brief Reports:
doi: 10.1097/ICB.0000000000000030
Case Report

SPONTANEOUS CLOSURE OF AN IDIOPATHIC MACULAR HOLE 9 MONTHS AFTER UNSUCCESSFUL VITREORETINAL SURGERY

Falkner-Radler, Christiane I. MD; Gabriel, Max MD; Binder, Susanne MD

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Abstract

Purpose:

To report spontaneous closure of a persistent idiopathic macular hole (MH) 9 months after cataract and vitreoretinal surgery, and subsequent gas reinjection.

Methods:

Baseline and follow-up examinations after surgery included slit-lamp biomicroscopy, best-corrected distance visual acuity and near visual acuity, spectral domain optical coherence tomography, and microperimetry.

Results:

Spectral domain optical coherence tomography scans showed a persistent MH after surgery until 5 months of follow-up, with an increasing base diameter of the MH and decreasing best-corrected visual acuity. Nine months after surgery, spontaneous closure of the MH with an improvement in best-corrected visual acuity was observed. These findings remained stable at 15 months of follow-up, with an additional increase in retinal sensitivity.

Conclusion:

Spontaneous closure of a persistent Stage 3 full-thickness MH after primary surgery is possible. We recommend follow-up examinations including spectral domain optical coherence tomography for several months before scheduling a reoperation.

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