Third time spontaneous closure of myopic macular hole

To describe the spontaneous closure of a myopic macular hole occurring three times.

A 75-year-old high myopic woman presented with decreased visual acuity and a deep small full-thickness macular hole in the left eye. The hole spontaneously resolved within 2 months. One year later, the patient returned with decreased visual acuity and severe metamorphopsia. A full-thickness macular hole was observed again. The hole spontaneously resolved 1 month later. Six months later, the patient presented again with decreased visual acuity and macular hole, the hole spontaneously resolved within 2 months. Optical coherence tomography was obtained during all visits.

Initial optical coherence tomography revealed a small macular hole with bridging elements. At subsequent visits, optical coherence tomography showed resolution and recurrence of the hole twice.

Dynamic interaction between tensile and degenerative forces, and proliferative and reparative glial elements, may lead to hole remodeling.