Spontaneous closure of lamellar macular holes studied by optical coherence tomography.
OBJECTIVE
To document and study the spontaneous closure of lamellar macular holes (LMH) by optical coherence tomography (OCT).


METHODS
Two women with LMH, 62 and 71 years old, respectively, were followed up with fundoscopy, fundus photography and OCT.


RESULTS
In both patients spontaneous closure of LMH was observed 11 and 21 months after baseline examination, respectively. The foveal thickness in case 1 increased from 84 μm at baseline to 162 μm at the final examination. The foveal thickness in case 2 increased from 48 μm at baseline to 148 μm at the final examination. The foveal contour was also restored in both eyes. The foveal morphology was preserved in both eyes during the follow-up period.


CONCLUSIONS
In both patients the spontaneous closure of LMH could be attributed to the shrinkage of the hole or the release of the tension on the retinal surface, which followed the complete posterior vitreous detachment and separation of epiretinal membrane from the retina.
Theodossiadis
Panagiotis G
PG
2nd Department of Ophthalmology, University of Athens, Greece. george@hellasnet.gr
Grigoropoulos
Vlassis G
VG
Emfietzoglou
Ioannis
I
Nikolaidis
Pantelis
P
Papathanasiou
Miltiadis
M
Theodossiadis
George P
GP
D000368:Aged; D019773:Epiretinal Membrane / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009887:Ophthalmoscopy; D012075:Remission, Spontaneous; D012167:Retinal Perforations / Q000175:diagnosis* / Q000503:physiopathology*; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology