Spontaneous resolution of bilateral stage 1 macular holes documented by optical coherence tomography.
OBJECTIVE
To describe a case of spontaneous resolution of bilateral stage 1 macular holes documented using optical coherence tomography.


METHODS
Observational case report.


METHODS
A patient presented with blurring and distortion in the right eye. Optical coherence tomography showed a stage 1 macular hole manifested as a foveal pseudocyst. The left eye appeared normal.


RESULTS
On 6-month follow-up, symptoms had resolved in the right eye but had developed in the left eye. Optical coherence tomography revealed normal anatomy in the right eye with a foveal pseudocyst in the left eye. At 10 months, the patient was asymptomatic and had normal foveal anatomy in both eyes on optical coherence tomography.


CONCLUSIONS
Stage 1 macular holes may appear as foveal pseudocysts on optical coherence tomography. In such cases, optical coherence tomography can provide definitive diagnostic information when clinical examination is equivocal. The observation and spontaneous resolution of bilateral stage 1 holes documented by optical coherence tomography are unique and interesting events of which a MEDLINE search found no previous reports.
Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, New York 10032, USA.
Husam
H
Ansari
Hanna
H
Rodriguez-Coleman
Kevin
K
Langton
Stanley
S
Chang
D003941:Diagnostic Techniques, Ophthalmological; D006801:Humans; D007368:Interferometry / Q000379:methods; D008027:Light; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D012075:Remission, Spontaneous; D012167:Retinal Perforations / Q000175:diagnosis / Q000503:physiopathology*; D014054:Tomography