Postponed closure of a postoperative macular hole

The purpose of this study was to report an exceptional case of a postponed closure of a postoperative macular hole.

A 60-year-old woman received a diagnosis of idiopathic macular hole after she suffered decreased vision in her left eye for 3 weeks. She underwent a pars plana vitrectomy, fluid-air exchange, and room air tamponade with face down positioning for 5 days, without internal limiting membrane peeling. Optical coherence tomography scans were performed at 3 days, 3 months, and 6 months after surgery.

Macular hole did not achieve closure until 6 months after surgery.

Postponed closure in a case of a postoperative macular hole is rare. This report shows that idiopathic macular hole, which does not close immediately after surgery, still has the possibility to achieve closure.