First Author: R.Walker UK
Co Author(s): L. Papavasileiou V. Petousis R. Zakir G. Duguid
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To demonstrate the delayed spontaneous closure of a macular hole after initial surgery failed to create anatomical closure. Review of the case demonstrated an inadvertant ILM flap.
Surgical intervention at a dedicated eye hospital forming part of a large NHS hospital trust
Standard surgical intervention including 23 gauge pars plana vitrectomy, ILM peel and gas tamponade for macular hole.
The initial surgery failed to lead to anatomical closure of the macular hole at 8 weeks follow up with no gas tamponade left in the eye. The patient declined further surgery, but clinic review 6 months later demonstrated anatomical closure.
It is postulated that an inadvertent ILM flap was left which provided a scaffold for anatomical closure. This raises the question of whether we should leave unclosed macular holes with ILM flap for a period prior to repeat surgical intervention.