Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye
Purpose. Myopic macular holes can be difficult to close with surgery and are frequently associated with retinal detachment. We report on a case of a macular hole in a severely myopic eye that underwent spontaneous closure. Methods. An observational case study. Results. A 55-year-old female was refer...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/182892 |
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| author | C. Bruè I. Rossiello J. M. Guidotti C. Mariotti |
| author_facet | C. Bruè I. Rossiello J. M. Guidotti C. Mariotti |
| author_sort | C. Bruè |
| collection | DOAJ |
| description | Purpose. Myopic macular holes can be difficult to close with surgery and are frequently associated with retinal detachment. We report on a case of a macular hole in a severely myopic eye that underwent spontaneous closure. Methods. An observational case study. Results. A 55-year-old female was referred to Ophthalmology for a central scotoma and metamorphopsia in the right eye. Visual acuity was 1/20 in both eyes. Fundus examination showed loss of the foveal depression, with a small yellow ring in the center of the fovea in the right eye, and a tilted optic disc and peripapillary staphyloma bilaterally. Spectral domain optical coherence tomography (SD-OCT) revealed a fully developed macular hole with a rim of thickened and slightly elevated retina in the right eye. The patient refused surgery. After 4 years of follow-up, her visual acuity improved to 20/40 in the right eye, and SD-OCT revealed spontaneous sealing of the macular hole without bare retinal pigment epithelium. Conclusions. Myopic macular holes represent a challenge regarding their management, and the prognosis is often poor. |
| format | Article |
| id | doaj-art-2d30c768ff8a4f7c8496aaf91c45c51b |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-2d30c768ff8a4f7c8496aaf91c45c51b2025-02-03T05:57:09ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302014-01-01201410.1155/2014/182892182892Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic EyeC. Bruè0I. Rossiello1J. M. Guidotti2C. Mariotti3Ophthalmology, Department of Neuroscience, Polytechnic University of Marche, Ancona, ItalyOphthalmology, Department of Neuroscience, Polytechnic University of Marche, Ancona, ItalyOphthalmology, Department of Neuroscience, Polytechnic University of Marche, Ancona, ItalyOphthalmology, Department of Neuroscience, Polytechnic University of Marche, Ancona, ItalyPurpose. Myopic macular holes can be difficult to close with surgery and are frequently associated with retinal detachment. We report on a case of a macular hole in a severely myopic eye that underwent spontaneous closure. Methods. An observational case study. Results. A 55-year-old female was referred to Ophthalmology for a central scotoma and metamorphopsia in the right eye. Visual acuity was 1/20 in both eyes. Fundus examination showed loss of the foveal depression, with a small yellow ring in the center of the fovea in the right eye, and a tilted optic disc and peripapillary staphyloma bilaterally. Spectral domain optical coherence tomography (SD-OCT) revealed a fully developed macular hole with a rim of thickened and slightly elevated retina in the right eye. The patient refused surgery. After 4 years of follow-up, her visual acuity improved to 20/40 in the right eye, and SD-OCT revealed spontaneous sealing of the macular hole without bare retinal pigment epithelium. Conclusions. Myopic macular holes represent a challenge regarding their management, and the prognosis is often poor.http://dx.doi.org/10.1155/2014/182892 |
| spellingShingle | C. Bruè I. Rossiello J. M. Guidotti C. Mariotti Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye Case Reports in Ophthalmological Medicine |
| title | Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye |
| title_full | Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye |
| title_fullStr | Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye |
| title_full_unstemmed | Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye |
| title_short | Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye |
| title_sort | spontaneous closure of a fully developed macular hole in a severely myopic eye |
| url | http://dx.doi.org/10.1155/2014/182892 |
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