Massamba Nathalie, Chin Eric K, Almeida David R P
Department of Ophthalmology and Visual Sciences, The University of Chicago, IL, USA.
Retina Consultants of Southern California, Redlands, CA, USA.
J Vitreoretin Dis. 2020 Nov 6;5(4):359-361. doi: 10.1177/2474126420965343. eCollection 2021 Jul-Aug.
We report a case of recurrent macular hole (MH) formation and spontaneous closure in the absence of any vitreoretinal interface abnormality.
A 49-year-old man presented for his annual ocular examination with no specific ocular complaints. He had a history of retinal detachment in the left eye, which was treated years prior with vitrectomy and scleral buckle. During a routine follow-up, the patient was discovered to have a full-thickness MH. Optical coherence tomography revealed the formation of an MH with spontaneous closure after 3 months without intervention. One month later, the MH recurred but once again closed spontaneously over 4 months.
The patient remained asymptomatic during the entire follow-up without any symptoms, vision changes, or therapeutic intervention.
To our knowledge, this is the first known case report of recurrent spontaneous opening and closure of an MH in the absence of any vitreoretinal interface abnormality, as revealed by macular optical coherence tomography imaging.
我们报告一例在无任何玻璃体视网膜界面异常情况下复发性黄斑裂孔(MH)形成并自发闭合的病例。
一名49岁男性因年度眼部检查前来就诊,无特殊眼部不适。他有左眼视网膜脱离病史,数年前接受了玻璃体切除术和巩膜扣带术治疗。在常规随访期间,发现该患者有一个全层黄斑裂孔。光学相干断层扫描显示形成了一个黄斑裂孔,未经干预在3个月后自发闭合。1个月后,黄斑裂孔复发,但在4个月内再次自发闭合。
在整个随访期间,患者无症状,无任何症状、视力变化或治疗干预。
据我们所知,这是首例经黄斑光学相干断层扫描成像显示在无任何玻璃体视网膜界面异常情况下黄斑裂孔复发性自发开放和闭合的已知病例报告。