Posters

Case report: Spontaneous closure of bilateral macular holes (MH)

Poster Details

First Author: A.Ohayon ISRAEL

Co Author(s):    A. Rubowitz                             

Abstract Details



Purpose:

To present a case of right eye spontaneous closure of an early stage MH, followed several years later by a left eye by spontaneous closure of a full thickness MH, in an otherwise healthy woman.

Setting:

Ophthalmology Department, Meir Medical centre, Kfar Saba, Israel.

Methods:

Visual acuity, slit-lamp examination and spectral-domain ocular coherence tomography (SD-OCT) images of a single patient between the years 2012-2017.

Results:

We show the temporal changes and spontaneous resolution observed with SD-OCT of an early (stage 1) MH in the right eye and a FTMH secondary to vitreomacular traction (VMT) in the left eye of the same patient 5 years later, also with full spontaneous resolution. Following resolution, SD-OCT demonstrated outer retinal layer disruption recovery, and visual acuity improvement in both eyes.

Conclusions:

Spontaneous closure of macular holes is an uncommon event, with most descriptions in the literature being of single cases or very small series, including several reports in patients who have undergone vitrectomy for other causes, or in highly myopic eyes. Bilateral spontaneous closure of macular holes in the same patient is an even more uncommon event, described only once in one patient previously in the literature to our knowledge.

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