دورية أكاديمية
أعرض في EDS

SPONTANEOUS CLOSURE AND RECURRENT OPENING TIMES TWO OF A MACULAR HOLE IN A SURGICALLY NAIVE EYE.

التفاصيل البيبلوغرافية
العنوان: SPONTANEOUS CLOSURE AND RECURRENT OPENING TIMES TWO OF A MACULAR HOLE IN A SURGICALLY NAIVE EYE.
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.
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تواريخ الأحداث: Date Created: 20230829 Date Completed: 20230831 Latest Revision: 20230831
رمز التحديث: 20240628
DOI: 10.1097/ICB.0000000000001244
PMID: 37643046
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-1578
DOI:10.1097/ICB.0000000000001244