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Spontaneous Macular Hole Closure after Valsalva Retinopathy and Nd:YAG Laser Treatment
Elcin Suren1, Melih Akidan2, Muhammet Kazim Erol1
1Antalya Education and Research Hospital, Ophthalmology Department, Antalya, Turkey.
Purpose:
The purpose of this report is to present a case who had spontaneous macular hole closure after Nd:YAG laser membranotomy applied to premacular haemorrhage associated with Valsalva retinopathy.
Methods:
Case report.
Results:
A 19-year-old young male patient presented to our clinic with sudden vision loss in his right eye, which had occurred 2 weeks before, following push-up and sit-up exercise. The patient was found to have premacular haemorrhage associated with Valsalva retinopathy. Nd:YAG laser membranotomy was performed. During his follow-up at week 1, full-thickness MH was observed and he was put under observation. At month 6, his vision acuity improved, laser coagulation sites in the fundus disappeared, and macular hole closed spontaneously.
Conclusion:
Macular hole that develops after Nd:YAG laser treatment of Valsalva retinopathy may spontaneously be closed like in our case. However, there is a need for further research to understand the mechanism of closure.
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