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Spontaneous closure of bilateral macular holes

PURPOSE: To present a case of a right eye spontaneous closure of a full thickness macular hole (FTMH), followed several years later by a left eye spontaneous closure of a FTMH, in an otherwise healthy woman. OBSERVATIONS: We show the temporal changes and spontaneous resolution observed with Spectral...

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Detalles Bibliográficos
Autores principales: Ohayon, Avi, Rubowitz, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6630031/
https://www.ncbi.nlm.nih.gov/pubmed/31341999
http://dx.doi.org/10.1016/j.ajoc.2019.100516
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author Ohayon, Avi
Rubowitz, Alexander
author_facet Ohayon, Avi
Rubowitz, Alexander
author_sort Ohayon, Avi
collection PubMed
description PURPOSE: To present a case of a right eye spontaneous closure of a full thickness macular hole (FTMH), followed several years later by a left eye spontaneous closure of a FTMH, in an otherwise healthy woman. OBSERVATIONS: We show the temporal changes and spontaneous resolution observed with Spectral-Domain Ocular Coherence Tomography (SD-OCT) of a FTMH in the right eye and a FTMH secondary to vitreomacular traction in the left eye of the same patient 5 years later, also with full spontaneous resolution. Following the resolution, SD-OCT demonstrated outer retinal layer disruption recovery and visual acuity improvement in both eyes. CONCLUSIONS AND IMPORTANCE: 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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spelling pubmed-66300312019-07-24 Spontaneous closure of bilateral macular holes Ohayon, Avi Rubowitz, Alexander Am J Ophthalmol Case Rep Case Report PURPOSE: To present a case of a right eye spontaneous closure of a full thickness macular hole (FTMH), followed several years later by a left eye spontaneous closure of a FTMH, in an otherwise healthy woman. OBSERVATIONS: We show the temporal changes and spontaneous resolution observed with Spectral-Domain Ocular Coherence Tomography (SD-OCT) of a FTMH in the right eye and a FTMH secondary to vitreomacular traction in the left eye of the same patient 5 years later, also with full spontaneous resolution. Following the resolution, SD-OCT demonstrated outer retinal layer disruption recovery and visual acuity improvement in both eyes. CONCLUSIONS AND IMPORTANCE: 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. Elsevier 2019-07-10 /pmc/articles/PMC6630031/ /pubmed/31341999 http://dx.doi.org/10.1016/j.ajoc.2019.100516 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ohayon, Avi
Rubowitz, Alexander
Spontaneous closure of bilateral macular holes
title Spontaneous closure of bilateral macular holes
title_full Spontaneous closure of bilateral macular holes
title_fullStr Spontaneous closure of bilateral macular holes
title_full_unstemmed Spontaneous closure of bilateral macular holes
title_short Spontaneous closure of bilateral macular holes
title_sort spontaneous closure of bilateral macular holes
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6630031/
https://www.ncbi.nlm.nih.gov/pubmed/31341999
http://dx.doi.org/10.1016/j.ajoc.2019.100516
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