Spontaneous Closure of Idiopathic Macular Hole (Presentation of 4 Cases)
Authors:
B. Lipková 1; A. Liesnerová 1; Z. Šustykevičová 2; V. Krásnik 3
Authors‘ workplace:
Očné oddelenie FNsP, Žilina, primár MUDr. Michal Štubňa
1; Očná klinika FN, Trenčín, prednosta MUDr. Marek Káčerik
2; Klinika oftalmológie LF UK a UNB nemocnica Ružinov, Bratislava, prednosta doc. MUDr. Vladimír Krásnik, PhD.
3
Published in:
Čes. a slov. Oftal., 67, 2011, No. 5-6, p. 165-168
Category:
Case Reports
Overview
Purpose:
To describe the cases of spontaneous closure of idiopathic macular hole.
Material and method:
OCT findings were retrospectively searched for cases of macular hole closure. Based on the corresponding documentation it was checked, if they were idiopathic macular holes and if the closure was spontaneous.
Results:
The authors present two cases of macular hole closures in phase IB, in one of which the closed hole reopened again in full thickness after 15 months. In further two cases of the phase II, one hole closed after posterior vitreous detachment after cataract surgery and once quite spontaneously.
Conclusion:
Four cases of spontaneous closure of idiopathic macular hole were documented by three ophthalmology departments during the period of nearly four years. Based on this result we suppose that this process is not as rare, as stated in the literature.
Key words:
idiopathic macular hole, spontaneous closure of idiopathic macular hole, OCT, posterior vitreous detachment
Sources
1. Azzolini C., Patelli F., Brancato R.: Correlation between optical coherence tomography data and biomicroscopic interpretation of idiopathic macular hole. Am J Ophthalmol 2001; 132(3): 348–355.
2. Bainbridge J., Herbert E., Gregor Z.: Macular holes: vitreoretinal relationships and surgical approaches. Eye 2008; 22: 1301–1309.
3. Benz M.S., Packo K.H., Gonzalez V. et al.: A placebo-controlled trial of microplasmin intravitreous injection to facilitate posterior vitreous detachment before vitrectomy. Ophthalmology. 2010 Apr; 117(4): 791–797.
4. Bosch V., Mateo J., Lavilla-Garcia L. et al.: Spontaneous closure of full thickness traumatic macular hole. Arch Soc Esp Oftalmol. 2008; 83: 325–327.
5. Ezra E., Gregor Z.J.: Surgery for idiopathic full-thickness macular hole: two-year results of a randomized clinical trial comparing natural history, vitrectomy, and vitrectomy plus autologous serum: Morfields Macular Hole Study Group Report no. 1. Arch Ophthalmol. 2004; 122(2): 224–236.
6. Ezra E., Munro P.M., Charteris D.G. et al.: Macular hole opercula. Ultrastructural features and clinicopathological correlation. Arch Ophthalmol. 1997; 115(11): 1381–1387.
7. Garcia P., Udaondo M., Amselem G. et al.: Spontaneous resolution of idiopathic macular hole type IV: Optical coherence tomography follow-up. Arch Soc Esp Oftalmol. 2006; 81: 229–232.
8. Gaudric A., Haouchine B., Massin P. et al.: Macular hole formation: new data provided by optical coherence tomography. Arch Ophthalmol. 1999; 117(6): 744–751.
9. Gass J.D.: Idiopathic senile macular hole. Its early stages and pathogenesis. Arch Ophthalmol. 1988; 106(5): 629–639.
10. Gass J.D.: Muller cell cone, an overlooked part of the anatomy of the fovea centralis: hypotheses concerning its role in the pathogenesis of macular hole and foveomacualar retinoschisis. Arch Ophthalmol. 1999; 117(6): 821–823.
11. Krásnik V.: Chirurgická liečba idiopatickej makulárnej diery. Čes a Slov Oftalmol. 1999; 6: 377–383.
12. Landolfi M., Zarbin M.A., Bhagat N.: Macular holes. Ophthalmol Clin North Am. 2002 Dec; 15(4): 565–572.
13. Nasr M.B., Symeonidis C., Tsinopoulos I. et al.: Spontaneous traumatic macular hole closure in a 50-year-old woman: a case report. J Med Case Reports. 2011 Jul 6; 5: 290.
14. Rizzo S., Patelli F., Chow D.R.: Vitreoretinal surgery. Berlin: Springer Verlag Berlin Heidelberg, 2009, ISBN 978-3-540-89589-9, p. 169.
15. Scassa C., Bruno M., Ripandelli G. et al.: Spontaneous closure of bilateral full thickness macular holes without surgery: an eleven-year follow-up. Eur Rev Med Pharmacol Sci. 2011 Jun; 15(6): 717–720.
16. Schweitzer K.D., García R.: Spontaneous closure of a stage III idiopathic macular hole. Can J Ophthalmol. 2007; 42: 127–128.
17. Stalmans P., Delaey C., de Smet M.D. et al.: Intravitreal injection of microplasmin for treatment of vitreomacular adhesion: results of a prospective, randomized, sham-controlled phase II trial (the MIVI-IIT trial). Retina. 2010 Jul-Aug; 30(7): 1122–1127.
18. Tanner V., Chauhan D.S., Jackson T.L. et al.: Optical coherence tomography of the vitreoretinal interface in macular hole formation. Br J Ophthalmol. 2001; 85(9): 1092–1097.
19. The eye disease case control study group: Risk factor for idiopathic macular hole. Am. J. Ophthalmol. 118, 1994, s. 754–761.
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2011 Issue 5-6
Most read in this issue
- Comparison of Keratometric Values and Corneal Eccentricity of Myopia, Hyperopia and Emmetropia
- Minimal Ocular Findings in a Patient with Best Disease Caused by the c.653G>A Mutation in BEST1
- AquaLase Method – Influence to the Secondary Cataract Appearance and its Safety
- Suprachoroid Hemorrhage without the Connection to the Surgical Procedure