title: [Bilateral postpartum macular hole].
abstract: We report the case of a 30-year-old, -7 myopic woman presenting with visual acuity decreased to 3/10 P4 in her right eye and 8/10 P3 in her left eye one month after uncomplicated delivery. Optical coherence tomography (OCT) demonstrated a stage III macular hole (MH) measuring 100 μ with intraretinal cysts in her right eye and a 100 μ stage Ib MH in her left eye. The stage III MH grew to 440 μ, requiring surgery to close it at 3 months, while the stage Ib hole resolved spontaneously. While myopia is a well-known risk factor for MH, the bilateral nature of this case and the context implicate the role of delivery. Thus, MH may be a cause of visual loss in the postpartum period. Diagnosis may be facilitated by OCT.
authors.affiliation: Département d'ophtalmologie, CHU de Nancy, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
authors.forename: V
authors.initials: V
authors.lastname: Cloché
authors.forename: J-C
authors.initials: JC
authors.lastname: Sablon
authors.forename: J-P
authors.initials: JP
authors.lastname: Berrod
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009216:Myopia / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D049590:Postpartum Period / Q000502:physiology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012167:Retinal Perforations / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy