First Author: N.Salunkhe INDIA
Co Author(s): V. Kumar P. Chandra R. Tewari D. Kumawat A. Kumar
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Case report describing presence of idiopathic Full thickness macular hole in a 10 year old child and its subsequent successful management
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute Of Medical Sciences, New Delhi, India
A case of idiopathic full thickness macular hole in an 10 year old child is being reported, supported by swept source OCT and ultra wide field fundus fluorescein angiography images. Ocurrence of an idiopathic full thickness macular hole in children is a rather rare phenomenon. A thorough history and clinical evaluation was done to rule out ocular trauma. A detailed clinical examination including slit lamp examination, goinoscopy, biomicroscopy with 90 dioptre lens and indentation indirect ophthalmoscopy was done. Additional investigations like swept source OCT and ultra wide field angiography were done which confirmed presence of a FTMH in absence of any other associated finding. Patient underwent a 25 G pars palna vitrectomy with BBG dye assisted ILM peeling with 20% SF6 gas injection. Patient was advised a face down position for one week. Follow up visit of the patient revealed closed macular hole which was confirmed on post operative OCT with increase in visual acuity of 6/18.
Post pars plana vitrectomy patient gained a visual acuity of 6/18 with closed macular hole. Timely detection of macular hole and early intervention helps in restoring visual acuity and preventing amblyopia.
An idiopathic full thickness macular hole in a child is an extremely rare entity. This case highlights such unique presentation.