Ansari Husam, Rodriguez-Coleman Hanna, Langton Kevin, Chang Stanley
Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, New York 10032, USA.
Am J Ophthalmol. 2002 Sep;134(3):447-9. doi: 10.1016/s0002-9394(02)01572-6.
To describe a case of spontaneous resolution of bilateral stage 1 macular holes documented using optical coherence tomography.
Observational case report.
A patient presented with blurring and distortion in the right eye. Optical coherence tomography showed a stage 1 macular hole manifested as a foveal pseudocyst. The left eye appeared normal.
On 6-month follow-up, symptoms had resolved in the right eye but had developed in the left eye. Optical coherence tomography revealed normal anatomy in the right eye with a foveal pseudocyst in the left eye. At 10 months, the patient was asymptomatic and had normal foveal anatomy in both eyes on optical coherence tomography.
Stage 1 macular holes may appear as foveal pseudocysts on optical coherence tomography. In such cases, optical coherence tomography can provide definitive diagnostic information when clinical examination is equivocal. The observation and spontaneous resolution of bilateral stage 1 holes documented by optical coherence tomography are unique and interesting events of which a MEDLINE search found no previous reports.
描述一例通过光学相干断层扫描记录的双侧1期黄斑裂孔自发消退的病例。
观察性病例报告。
一名患者右眼出现视物模糊和变形。光学相干断层扫描显示1期黄斑裂孔，表现为中央凹假性囊肿。左眼外观正常。
6个月随访时，右眼症状已缓解，但左眼出现症状。光学相干断层扫描显示右眼解剖结构正常，左眼中央凹有假性囊肿。10个月时，患者无症状，光学相干断层扫描显示双眼中央凹解剖结构正常。
1期黄斑裂孔在光学相干断层扫描上可能表现为中央凹假性囊肿。在这种情况下，当临床检查结果不明确时，光学相干断层扫描可提供明确的诊断信息。通过光学相干断层扫描记录的双侧1期裂孔的观察和自发消退是独特且有趣的事件，医学文献在线数据库检索未发现此前有相关报道。
