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[Bilateral postpartum macular hole]

V Cloché1, J-C Sablon, J-P Berrod

  • 1Département d'ophtalmologie, CHU de Nancy, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.

Journal Francais D'Ophtalmologie
|January 8, 2013
PubMed

We report the case of a 30-year-old, -7 myopic woman presenting with visual acuity decreased to 3/10 P4 in her right eye and 8/10 P3 in her left eye one month after uncomplicated delivery. Optical coherence tomography (OCT) demonstrated a stage III macular hole (MH) measuring 100 μ with intraretinal cysts in her right eye and a 100 μ stage Ib MH in her left eye. The stage III MH grew to 440 μ, requiring surgery to close it at 3 months, while the stage Ib hole resolved spontaneously. While myopia is a well-known risk factor for MH, the bilateral nature of this case and the context implicate the role of delivery. Thus, MH may be a cause of visual loss in the postpartum period. Diagnosis may be facilitated by OCT.

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