Postponed closure of a postoperative macular hole.
OBJECTIVE
The purpose of this study was to report an exceptional case of a postponed closure of a postoperative macular hole.


METHODS
A 60-year-old woman received a diagnosis of idiopathic macular hole after she suffered decreased vision in her left eye for 3 weeks. She underwent a pars plana vitrectomy, fluid-air exchange, and room air tamponade with face down positioning for 5 days, without internal limiting membrane peeling. Optical coherence tomography scans were performed at 3 days, 3 months, and 6 months after surgery.


RESULTS
Macular hole did not achieve closure until 6 months after surgery.


CONCLUSIONS
Postponed closure in a case of a postoperative macular hole is rare. This report shows that idiopathic macular hole, which does not close immediately after surgery, still has the possibility to achieve closure.
Shenzhen Eye Hospital, Second Clinical College of Medicine, Jinan University, Shenzhen, China.
Zhao
Z
Tie-Ying
Zhu
Z
Yuan-Fei
Zhang
Z
Tong
Wen
W
Hui
Cheng
C
Hong-Bo