THIRD TIME SPONTANEOUS CLOSURE OF MYOPIC MACULAR HOLE

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Abstract

Purpose:

To describe the spontaneous closure of a myopic macular hole occurring three times.

Methods:

A 75-year-old high myopic woman presented with decreased visual acuity and a deep small full-thickness macular hole in the left eye. The hole spontaneously resolved within 2 months. One year later, the patient returned with decreased visual acuity and severe metamorphopsia. A full-thickness macular hole was observed again. The hole spontaneously resolved 1 month later. Six months later, the patient presented again with decreased visual acuity and macular hole, the hole spontaneously resolved within 2 months. Optical coherence tomography was obtained during all visits.

Results:

Initial optical coherence tomography revealed a small macular hole with bridging elements. At subsequent visits, optical coherence tomography showed resolution and recurrence of the hole twice.

Conclusion:

Dynamic interaction between tensile and degenerative forces, and proliferative and reparative glial elements, may lead to hole remodeling.

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