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Spontaneous disappearance and recurrence of impending macular hole: a case report

BACKGROUND: There have been several reports of spontaneous closure and reopening of a macular hole, however, in most of those cases, it was observed in eyes post vitrectomy. Here, we report a case of multiple episodes of spontaneous disappearance and recurrence of impending macular hole (stage 1B ma...

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Autores principales: Miyamoto, Makiko, Shimizu, Kazuhiro, Sato, Yohei, Konose, Bunsei, Mano, Natsuko, Watanabe, Hiroko, Ikeda, Tsunehiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858975/
https://www.ncbi.nlm.nih.gov/pubmed/31733654
http://dx.doi.org/10.1186/s13256-019-2277-3
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author Miyamoto, Makiko
Shimizu, Kazuhiro
Sato, Yohei
Konose, Bunsei
Mano, Natsuko
Watanabe, Hiroko
Ikeda, Tsunehiko
author_facet Miyamoto, Makiko
Shimizu, Kazuhiro
Sato, Yohei
Konose, Bunsei
Mano, Natsuko
Watanabe, Hiroko
Ikeda, Tsunehiko
author_sort Miyamoto, Makiko
collection PubMed
description BACKGROUND: There have been several reports of spontaneous closure and reopening of a macular hole, however, in most of those cases, it was observed in eyes post vitrectomy. Here, we report a case of multiple episodes of spontaneous disappearance and recurrence of impending macular hole (stage 1B macular hole) with no history of previous surgery. CASE PRESENTATION: A 76-year-old Japanese man presented with a primary complaint of reduced visual acuity in his right eye. On initial examination, the visual acuity in his right and left eye was 0.4 and 0.01, respectively. He had previously been diagnosed as having macular degeneration of unknown origin in his left eye. Optical coherence tomography imaging confirmed vitreomacular traction and impending macular hole in his right eye. After a 1-week follow-up period, posterior vitreous detachment was detected, and the impending macular hole appeared to be resolved. Two months later, the impending macular hole had completely disappeared and his visual acuity had improved to 0.9. Six months later, he again noticed decreased vision in his right eye. An examination revealed that his visual acuity had dropped to 0.4, and there was a recurrence of impending macular hole. An optical coherence tomography examination showed no definitive findings of vitreous traction, and, 1 month later, spontaneous disappearance was observed again and his visual acuity improved to 0.7. CONCLUSIONS: In this case, both the initial onset and the recurrence involved impending macular hole, however, the optical coherence tomography findings differed at each examination. These findings suggest that some causes other than vitreous traction were responsible for both the spontaneous disappearance and recurrence of the impending macular hole in this present case.
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spelling pubmed-68589752019-11-22 Spontaneous disappearance and recurrence of impending macular hole: a case report Miyamoto, Makiko Shimizu, Kazuhiro Sato, Yohei Konose, Bunsei Mano, Natsuko Watanabe, Hiroko Ikeda, Tsunehiko J Med Case Rep Case Report BACKGROUND: There have been several reports of spontaneous closure and reopening of a macular hole, however, in most of those cases, it was observed in eyes post vitrectomy. Here, we report a case of multiple episodes of spontaneous disappearance and recurrence of impending macular hole (stage 1B macular hole) with no history of previous surgery. CASE PRESENTATION: A 76-year-old Japanese man presented with a primary complaint of reduced visual acuity in his right eye. On initial examination, the visual acuity in his right and left eye was 0.4 and 0.01, respectively. He had previously been diagnosed as having macular degeneration of unknown origin in his left eye. Optical coherence tomography imaging confirmed vitreomacular traction and impending macular hole in his right eye. After a 1-week follow-up period, posterior vitreous detachment was detected, and the impending macular hole appeared to be resolved. Two months later, the impending macular hole had completely disappeared and his visual acuity had improved to 0.9. Six months later, he again noticed decreased vision in his right eye. An examination revealed that his visual acuity had dropped to 0.4, and there was a recurrence of impending macular hole. An optical coherence tomography examination showed no definitive findings of vitreous traction, and, 1 month later, spontaneous disappearance was observed again and his visual acuity improved to 0.7. CONCLUSIONS: In this case, both the initial onset and the recurrence involved impending macular hole, however, the optical coherence tomography findings differed at each examination. These findings suggest that some causes other than vitreous traction were responsible for both the spontaneous disappearance and recurrence of the impending macular hole in this present case. BioMed Central 2019-11-17 /pmc/articles/PMC6858975/ /pubmed/31733654 http://dx.doi.org/10.1186/s13256-019-2277-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Miyamoto, Makiko
Shimizu, Kazuhiro
Sato, Yohei
Konose, Bunsei
Mano, Natsuko
Watanabe, Hiroko
Ikeda, Tsunehiko
Spontaneous disappearance and recurrence of impending macular hole: a case report
title Spontaneous disappearance and recurrence of impending macular hole: a case report
title_full Spontaneous disappearance and recurrence of impending macular hole: a case report
title_fullStr Spontaneous disappearance and recurrence of impending macular hole: a case report
title_full_unstemmed Spontaneous disappearance and recurrence of impending macular hole: a case report
title_short Spontaneous disappearance and recurrence of impending macular hole: a case report
title_sort spontaneous disappearance and recurrence of impending macular hole: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858975/
https://www.ncbi.nlm.nih.gov/pubmed/31733654
http://dx.doi.org/10.1186/s13256-019-2277-3
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