Abstract
BackgroundMacular holes in children are generally associated with trauma.Case presentationWe report the first case of an idiopathic full thickness macular hole in a 10-year-old girl. 23-gauge transconjunctival pars plana vitrectomy, induction of a posterior vitreous detachment, ILM blue-assisted internal limiting membrane peel, fluid–air exchange and air-26% sulfur hexafluoride (SF6) exchange was performed with subsequent macular hole closure.ConclusionThis is the first reported case of an idiopathic full thickness macular hole in a child. Treatment with pars plana vitrectomy with peeling of the ILM resulted in significant anatomic and functional improvement.
Highlights
Macular holes in children are generally associated with trauma.Case presentation: We report the first case of an idiopathic full thickness macular hole in a 10-year-old girl. 23-gauge transconjunctival pars plana vitrectomy, induction of a posterior vitreous detachment, ILM blue-assisted internal limiting membrane peel, fluid–air exchange and air-26% sulfur hexafluoride (SF6) exchange was performed with subsequent macular hole closure
Idiopathic macular holes most commonly occur in adults in the 6th to 7th decade [2]
We present a case of an idiopathic full thickness macular hole (FTMH) in a child
Summary
A macular hole is a full thickness defect in the neural retina at the fovea. We present a case of an idiopathic full thickness macular hole (FTMH) in a child. The vision had deteriorated from 20/17 1 year previously, to 20/60 She was otherwise well, with no history of trauma or inflammation of either eye and no other significant medical or drug history. Induction of a posterior vitreous detachment (PVD) was completed using triamcinolone, followed by ILM blueassisted internal limiting membrane (ILM) peel, fluid–air exchange and air-26% sulfur hexafluoride (SF6) exchange. She was positioned face down for 3 days postoperatively. There was still a small defect at the photoreceptor level
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