J Korean Ophthalmol Soc.  2024 Oct;65(10):693-697. 10.3341/jkos.2024.65.10.693.

A Case of Spontaneous Closure of Recurring Chronic Full Thickness Macular Hole

• Ha S
• Kwon HJ
• Park SW
• Byon IS

• KMID: 2559998
• DOI: http://doi.org/10.3341/jkos.2024.65.10.693

Abstract

Purpose
To report a case of spontaneous closure of a chronic recurrent full-thickness macular hole (FTMH) in a previously vitrectomized eye.
Case summary
A 58-year-old female who underwent vitrectomy for the treatment of a rhegmatogenous retinal detachment (RRD) on the right eye 2 years ago complaint of decreased vision on the same eye. The best corrected visual acuity (BCVA) was 0.2. The fundus photograph and optical coherence tomography revealed a FTMH with perifoveal cystoid macular edema (CME). While surgical treatment for the macular hole (MH) was scheduled, the spontaneous closure of MH was observed with resolution of CME. BCVA improved to 0.5. During the long-term follow-up periods, FTMH with CME recurred 2 times or more. In all events, the hole was spontaneously closed in 1 month, accompanied with resolution of CME.
Conclusions
A FTMH with CME developed 3 times for 11 years following RRD repair, which was spontaneously closed with CME resolution in a month. In case of chronic recurrent FTMH in vitrectomized eye, it would be better to determine surgical treatment after closely monitoring changes in hole and CME.

Keyword

Macular edema, Macular hole, Vitrectomy