Abstract
We report two cases of spontaneous closure of full-thickness macular hole (FTMH). The first was in a patient with relieved traction from tractional macular detachment with spontaneous closure after diagnosis at 16 months. The second case is FTMH that developed after vitrectomy from rhegmatogenous retina detachment with spontaneous closure after diagnosis at 9 months. Spontaneous closure of FTMH is rare and the main treatment is vitrectomy.
Highlights
We report two cases of spontaneous closure of full-thickness macular hole (FTMH)
There are two major theories that explain the formation of MH: the anteroposterior vitreofoveal traction and the tangential vitreous traction.[1,3]
Results from a posterior vitreous detachment (PVD) with subsequent foveal cyst formation, whereas the latter is due to condensation and tangential contraction of the prefoveolar vitreous cortex, leading to spontaneous vitreofoveal separation
Summary
We report two cases of spontaneous closure of full-thickness macular hole (FTMH). The first was in a patient with relieved traction from tractional macular detachment with spontaneous closure after diagnosis at 16 months. A 56-year-old Chinese man with right proliferative diabetic retinopathy and retinitis proliferans with traction affecting the macula developed full-thickness macular hole (FTMH) while he was undergoing panretinal photocoagulation. The macular traction was, relieved (captured via optical coherence tomography [OCT]). He was noted to have spontaneous closure of FTMH prior to surgery with visual acuity of 6/24
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