Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei City, Taiwan; and.
Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
Retin Cases Brief Rep. 2023 Sep 1;17(5):554-556. doi: 10.1097/ICB.0000000000001235. Epub 2022 Jan 13.
To present a case of a myopic macular hole that spontaneously closed twice in the presence of a broadly adherent posterior hyaloid membrane.
Case report.
A 49-year-old man with high myopia and pseudophakia had a full-thickness macular hole in the left eye. The hole spontaneously closed in all retinal layers before the elective surgery, but the macular hole recurred one month later. The hole started sealing again spontaneously after one month, leaving a defect in the outer retinal layers. Four months later, the outer layer defect sealed and a lamellar macular hole developed. Throughout the course, the posterior hyaloid membrane remained parallel to the macular surface. The macular morphology and the patient's vision remained stationary at the 2-year follow-up.
This case demonstrated that myopic macular holes can form and seal repeatedly with a broadly adherent posterior hyaloid membrane. Although bridging phenomenon was the common sign indicating the initiation of the two hole closures, different patterns of tissue regeneration ensued.
报告一例伴有广泛后玻璃体膜粘连的近视性黄斑裂孔两次自发闭合的病例。
病例报告。
一名 49 岁的高度近视和人工晶状体眼患者左眼出现全层黄斑裂孔。在择期手术前，裂孔在所有视网膜层自发闭合，但一个月后黄斑裂孔再次复发。一个月后，裂孔再次开始自发封闭，仅在外层视网膜留下一个缺损。四个月后，外层缺损封闭，形成板层黄斑裂孔。整个过程中，后玻璃体膜始终与黄斑表面平行。黄斑形态和患者视力在 2 年随访时保持稳定。
本病例表明，伴有广泛后玻璃体膜粘连的近视性黄斑裂孔可以多次形成和闭合。尽管桥接现象是表明两次裂孔闭合开始的常见标志，但随后出现了不同的组织再生模式。
