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DELAYED SPONTANEOUS CLOSURE OF A FULL-THICKNESS MYOPIC MACULAR HOLE WITH GOOD VISUAL RECOVERY
1Department of Ophthalmology, Columbia University Irving Medical Center, New York, New York.
Retinal Cases & Brief Reports
|December 15, 2023
Summary
A decade after forming, a myopic macular hole spontaneously closed, leading to excellent vision recovery. This case highlights potential for good outcomes in non-surgical patients with macular holes.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Myopia Research
Background:
- High myopia can lead to serious retinal complications.
- Macular holes, especially in highly myopic eyes, often require surgical intervention.
Purpose of the Study:
- To document the 16-year longitudinal progression of a myopic macular hole.
- To report the spontaneous closure and visual recovery of a full-thickness macular hole over a decade.
Main Methods:
- A case study of a 68-year-old male with high myopia.
- Longitudinal monitoring using time-domain and spectral-domain optical coherence tomography (OCT) over 16 years.
Main Results:
- A lamellar macular hole in the fellow eye progressed to a full-thickness macular hole.
- The patient declined surgery and was observed for 16 years.
- Spontaneous closure of the full-thickness macular hole occurred at 10 years, with visual acuity improving to 20/25.
Conclusions:
- Surgical intervention is standard for macular holes, but non-surgical candidates can achieve good outcomes.
- Epiretinal proliferation in myopic macular holes may contribute to delayed spontaneous closure.
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