J Korean Ophthalmol Soc > Volume 54(10); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(10):1626-1629.
DOI: https://doi.org/10.3341/jkos.2013.54.10.1626    Published online October 15, 2013.
A Case of Spontaneous Closure of Macular Hole in a Previously Vitrectomized Eye.
Seung Hee Lee, Geun Woo Lee, Sook Hyun Yoon, Yoon Young Kim
Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr
유리체절제술을 받은 눈에서 발생한 황반원공의 자연폐쇄 1예
이승희⋅이근우⋅윤숙현⋅김윤영
Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea
Abstract
PURPOSE
To report a case of spontaneous closure of a macular hole in a previously vitrectomized eye. CASE SUMMARY: A 71-year-old female had undergone vitrectomy on the left eye due to a secondary epiretinal membrane with vitreous opacity caused by vasculitis. After the procedure, while the patient was still on medication for the recurrent inflammation of the anterior and posterior segment of the vitreous, a macular hole was found after fundus examinations. Visual acuity of her left eye was 0.125 and ocular coherence tomography (OCT) confirmed a full thickness macular hole with a perifoveal cyst. We recommended vitrectomy, internal limiting membrane peeling, and intravitreal gas injection, but the patient refused further intervention due to her poor general condition. After 2 weeks, resolution of the perifoveal cyst with the macular hole was observed. After 13 weeks, OCT revealed the complete closure of the macular hole with normal foveal depression and the patient regained 0.4 visual acuity. CONCLUSIONS: Spontaneous closure of macular hole is a rare phenomenon in vitrectomized eyes, but a small macular hole with inflammation may close spontaneously without additional intervention. Therefore, observation should be considered rather than hasty surgical intervention. Apparently, the spontaneous closure of a macular hole is due to degenerative processes such as development of macular edema and natural recovery.
Key Words: Macular hole;Spontaneous closure;Vitrectomy


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2024 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next