دورية أكاديمية
SPONTANEOUS CLOSURE AND RECURRENT OPENING TIMES TWO OF A MACULAR HOLE IN A SURGICALLY NAIVE EYE.
العنوان: | SPONTANEOUS CLOSURE AND RECURRENT OPENING TIMES TWO OF A MACULAR HOLE IN A SURGICALLY NAIVE EYE. |
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المؤلفون: | Tieger MG; Retina Service, Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts., Kim LA, Vavvas DG |
المصدر: | Retinal cases & brief reports [Retin Cases Brief Rep] 2023 Sep 01; Vol. 17 (5), pp. 581-583. |
نوع المنشور: | Case Reports; Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer Health Country of Publication: United States NLM ID: 101298744 Publication Model: Print Cited Medium: Internet ISSN: 1937-1578 (Electronic) Linking ISSN: 19351089 NLM ISO Abbreviation: Retin Cases Brief Rep Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Hagerstown, MD : Wolters Kluwer Health, c2007- |
مواضيع طبية MeSH: | Retinal Perforations*/diagnosis , Retinal Perforations*/etiology , Retinal Perforations*/surgery , Epiretinal Membrane*/diagnosis , Epiretinal Membrane*/surgery , Vitreous Detachment*/diagnosis , Vitreous Detachment*/surgery, Male ; Humans ; Aged, 80 and over ; Fundus Oculi ; Scotoma |
مستخلص: | Purpose: To report a case of an idiopathic macular hole with recurrent opening and spontaneous closure in a surgically naive eye. Methods: A retrospective review of medical records was performed in addition to a review of the current literature. Results: An 82-year-old man was referred for the management of a full-thickness macular hole in the right eye. Visual acuity was 20/60, and dilated fundus examination was notable for a posterior vitreous detachment, macular hole, and mild epiretinal membrane. Optical coherence tomography confirmed the presence of a full-thickness macular hole. The patient declined surgical intervention and elected to observe. Five weeks later, optical coherence tomography confirmed spontaneous closure. One year later, a recurrent partial thickness outer retinal hole was noted on dilated fundus examination and optical coherence tomography that subsequently spontaneously closed for the second time. The following year, the patient represented with a new scotoma and metamorphopsia and was found to have a full-thickness macular hole. This time the patient was elected for surgical intervention (25-gauge pars plana vitrectomy, epiretinal membrane peel, and 14% C3F8), resulting in closure of the macular hole and improvement in visual acuity to 20/25+1. Conclusion: This case highlights a rare presentation of a see-saw pattern of opening and closing of a macular hole in a treatment-naive eye. The presence of a posterior vitreous detachment and epiretinal membrane suggests that other factors than anterior-posterior and tangential traction may be a contributing in the formation and closure of idiopathic macular holes. |
References: | Ali FS, Stein JD, Blachley TS, et al. Incidence of and risk factors for developing idiopathic macular hole among a diverse group of patients throughout the United States. JAMA Ophthalmol 2017;135:299–305. Chew EY, Sperduto RD, Hiller R, et al. Clinical course of macular holes: the eye disease case-control study. Arch Ophthalmol 1999;117:242–246. Kokame GT, McCauley MB. Spontaneous reopening of a spontaneously closed macular hole. Am J Ophthalmol 2002;133:280–282. Parikh PD, Day Ghafoori S. Multiple late recurrences of macular hole after vitrectomy and episode of spontaneous closure in a single eye. Retin Cases Brief Rep 2021;133:280–282. Shaikh S, Garretson B. Spontaneous closure of a recurrent macular hole following vitrecomy corroborated by optical coherence tomography. Ophthalmic Surg Lasers Imaging 2003;34:172–174. Yonekawa Y, Hirakata A, Inoue M, Okada AA. Spontaneous closure of a recurrent myopic macular hole previously repaired by pars plana vitrectomy. Acta Ophthalmol 2011;89:e536–e537. Ozdemir E, Ozdek S. Recurrent opening and closure of macular hole after pars plana vitrectomy for rhegmatogenous retinal detachment. Retin Cases Brief Rep 2020;14:331–333. Golan S, Barak A. Third time spontaneous closure of myopic macular hole. Retin Cases Brief Rep 2015;9:13–14. Miyamoto M, Shimizu K, Sato Y, et al. Spontaneous disappearance and recurrence of impending macular hole: a case report. J Med Case Rep 2019;13:335. Smiddy WE, Flynn HW Jr. Pathogenesis of macular holes and therapeutic implications. Am J Ophthalmol 2004;137:525–537. |
تواريخ الأحداث: | Date Created: 20230829 Date Completed: 20230831 Latest Revision: 20230831 |
رمز التحديث: | 20240628 |
DOI: | 10.1097/ICB.0000000000001244 |
PMID: | 37643046 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1937-1578 |
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DOI: | 10.1097/ICB.0000000000001244 |