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Spontaneous resolution of macular microhole
Michael M Lai1, Susan B Bressler, Julia A Haller
1The Retina Division, Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA.
American Journal of Ophthalmology
|January 3, 2006
Summary
This case report shows a macular microhole spontaneously resolved. Posterior vitreous detachment was noted in this case of spontaneous macular microhole closure.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Macular microholes are a common cause of decreased vision.
- Posterior vitreous detachment (PVD) is a known risk factor for macular holes.
Observation:
- A 62-year-old woman presented with decreased vision and a full-thickness macular microhole.
- Optical coherence tomography (OCT) confirmed the macular microhole, posterior vitreous detachment, and an operculum.
Findings:
- The macular microhole showed spontaneous resolution.
- Improved vision and a small central floater were noted on follow-up.
- OCT confirmed the closure of the macular microhole.
Implications:
- Macular microholes can resolve spontaneously.
- Posterior vitreous detachment may play a role in the spontaneous closure of macular microholes.
- This case highlights the potential for non-surgical management of macular microholes.
