Early spontaneous closure after reopening of a previously repaired macular hole.
OBJECTIVE
To describe a case of early spontaneous closure of macular hole after reopening after previous successful surgical repair.


METHODS
A 72-year-old female patient was treated for stage 2 idiopathic macular hole in the right eye. The hole remained anatomically closed for 2 months postoperatively, before reopening 1 month later.


RESULTS
The patient was listed for revision surgery; however, on the day of the operation, which was 2 months after the reopening, the hole seemed to have closed spontaneously. Two years later, the macular hole remains closed with best-corrected visual acuity of 6/9.


CONCLUSIONS
Spontaneous closure of macular holes after reopening is a rare phenomenon. The case presented here demonstrates that for early reopening of macular holes, a period of observation with serial optical coherence tomography may allow the hole to close spontaneously before proceeding with further surgical intervention.
The Royal Eye Infirmary, Plymouth, United Kingdom.
Kaveh
K
Vahdani
Jonathan C
JC
Park
Vasant S
VS
Raman