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

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

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

In Brief

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

Author Information

Ludwig Boltzmann Institute of Retinology and Biomicroscopic Laser Surgery, Department of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria.

Reprint requests: Christiane I. Falkner-Radler, MD, Ludwig Boltzmann Institute of Retinology and Biomicroscopic Laser Surgery, Department of Ophthalmology, Rudolf Foundation Clinic, Juchgasse 25, 1030 Vienna, Austria; e-mail: christiane.falkner-radler@wienkav.at

None of the authors have any financial/conflicting interests to disclose.

© 2014 by Ophthalmic Communications Society, Inc.