Jamil Ahmad Zeeshan, Aqil Amash, Khaliq Javed, Mirza Khurram Azam
Department of Ophthalmology, LRBT, Lahore.
Medical Student, The Aga Khan Medical University, Karachi.
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S115-6.
We report a case of spontaneous closure of stage-II macular hole. A 66 years old lady presented with decreased vision in her left eye for the last 3 months. Her vision was 6/18 in right eye and finger counting at 3 feet in left eye. Optical coherence tomography showed stage-II macular hole in left eye. There was attachment of vitreous at the edge of the hole. Minimal hole diameter was 119 μ. Macular hole surgery was planned. During follow-up, hole started closing spontaneously. Nine months later, the hole closed and posterior hyaloid membrane separated from the macula. Visual acuity improved to 6/24. The purpose of this case report is to show that stage-II macular hole may close spontaneously with relief of vitreomacular traction.
我们报告一例二期黄斑裂孔自发闭合的病例。一名66岁女性在过去3个月中出现左眼视力下降。她右眼视力为6/18，左眼在3英尺处仅能数指。光学相干断层扫描显示左眼为二期黄斑裂孔。裂孔边缘有玻璃体附着。最小裂孔直径为119μm。原本计划进行黄斑裂孔手术。在随访过程中，裂孔开始自发闭合。9个月后，裂孔闭合，后玻璃体膜与黄斑分离。视力提高到6/24。本病例报告的目的是表明二期黄斑裂孔可能随着玻璃体黄斑牵引的解除而自发闭合。
