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Updated: Feb 7, 2026

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Published on: January 29, 2020
Idiopathic full thickness macular hole in a 10-year-old girl
Li-Anne S Lim1,2, Guillermo Fernandez-Sanz1, Steven Levasseur1
11Sydney Hospital and Sydney Eye Hospital, Macquarie Street, Sydney, NSW Australia.
Insights
This study details the first idiopathic full thickness macular hole in a child, successfully treated with pars plana vitrectomy and internal limiting membrane peeling, leading to improved vision.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Retinal Surgery
Background:
- Macular holes in pediatric patients are typically linked to traumatic injuries.
- Idiopathic macular holes are rare in children, with most cases associated with trauma.
Background:
Macular holes in children are generally associated with trauma.
Case Presentation:
We report the first case of an idiopathic full thickness macular hole in a 10-year-old girl. 23-gauge transconjunctival pars plana vitrectomy, induction of a posterior vitreous detachment, ILM blue-assisted internal limiting membrane peel, fluid-air exchange and air-26% sulfur hexafluoride (SF6) exchange was performed with subsequent macular hole closure.
Conclusion:
This is the first reported case of an idiopathic full thickness macular hole in a child. Treatment with pars plana vitrectomy with peeling of the ILM resulted in significant anatomic and functional improvement.
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