Idiopathic full-thickness macular hole in a pediatric patient: case report and long-term follow-up

Pediatric full-thickness macular holes (FTMHs) are uncommon; the majority are the result of direct ocular trauma. Idiopathic FTMHs are even rarer and have only been reported in the literature as individual cases. The clinical course and prognosis of FTMHs remains largely unknown, and challenges in management such as deprivational amblyopia must be considered. We present a case of an idiopathic FTMH in a child with 20/32 visual acuity who did not undergo surgical intervention. Unlike the natural progression of idiopathic FTMHs seen in adults, there was no progression in size of the FTMH during 1 year of follow-up and no deterioration in vision. This may support conservative management in certain pediatric cases.