Spontaneous closure of stage IV idiopathic full-thickness macular hole and late reopening as a lamellar macular hole: a case report

Journal of Medical Case Reports

Joaquín Castro Navarro¹  Miriam García Fernández¹ 

[1] Department of Opthalmology, Central University Hospital of Asturias, Oviedo, Asturias, Spain

关键词: lamellar macular hole;    spontaneous closure;    Macular hole;   

Others  :  1195721
DOI  :  10.1186/1752-1947-6-169

 received in 2012-01-09, accepted in 2012-06-28,  发布年份 2012

【 摘 要 】

Introduction

Spontaneous closure of traumatic macular holes is described as a common event in the peer-reviewed literature. However, the spontaneous closure of stage III and IV full-thickness idiopathic macular holes has been reported in less than 15 cases in the literature, this being an extremely rare event, with their reopening being even more infrequent. We report a case of a spontaneous closure of stage IV idiopathic full-thickness macular hole and late reopening as a lamellar macular hole.

Case presentation

A 67-year-old Spanish man was referred to our hospital with a complaint of decreased vision in his right eye and metamorphopsia for approximately 11 months. He did not report any trauma. Diagnosis was based on fundoscopic and optical coherence tomography. They revealed a stage IV full-thickness idiopathic macular hole and a small epiretinal membrane. Three months later the hole spontaneously closed, and two years later we appreciated its reopening as a lamellar macular hole.

Conclusions

The contraction of the epiretinal membrane could have contributed to cystic spaces and their fusion, subsequently, to the formation of a lamellar macular hole. To the best of our knowledge this is the first report in the literature of a spontaneously closed full-thickness idiopathic macular hole with reopening as a partial thickness macular defect.

【 授权许可】

   
2012 García Fernández and Castro Navarro; licensee BioMed Central Ltd.

【 图 表 】

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