Spontaneous Closure of Macular Hole Following Rhegmatogenous Macula-Off Retinal Detachment

 

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Background

Macular holes can be caused by various etiologies, such as idiopathic, traumatic, vitreous or epiretinal membrane traction, and postoperative, e. g. after scleral buckling, pneumatic retinopexy and vitrectomy [1] [2] [3] [4] [5].

Spontaneous closure of an idiopathic macular hole has been described in a small percent of cases [6], and traumatic macular holes appear to close spontaneously slightly more frequently compared to idiopathic macular holes [7].

Macular hole formation after successful retinal detachment surgery with vitrectomy is a very rare occurrence [8], [9]. We describe the clinical situation where a rhegmatogenous macula-off retinal detachment triggered the formation of a full-thickness macular hole during the postoperative stage, which showed a spontaneous resolution within 1 month.

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Dr. Thomas J. Wolfensberger, PD

Jules Gonin Eye Hospital

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1004 Lausanne, Switzerland

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