Centrifugal enlargement of macular hole and macular detachment in a patient with bilateral giant macular holes.
OBJECTIVE
To report the detailed vitreomacular morphology of a case of progressive enlargement and macular detachment secondary to and several years after the development of bilateral giant macular holes using optical coherence tomography.


METHODS
Using optical coherence tomography, both eyes of a patient with bilateral giant macular holes were examined.


RESULTS
A 33-year-old woman had bilateral giant macular holes at the first visit. At the 5-year follow-up visit, the macular hole had enlarged centrifugally in the right eye, and a macular detachment developed beyond the arcade vessels in the left eye. Optical coherence tomography showed retinoschisis in the right eye around the edges of the hole and a macular detachment in the left eye with vitreoretinal adhesion temporal to both holes.


CONCLUSIONS
These optical coherence tomography findings suggested that vitreomacular traction at the temporal edge of the hole may have resulted in progressive centrifugal enlargement of the hole in both eyes and then the macular detachment occurred in the left eye.
From the Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan.
Atsushi
A
Takahashi
Taiji
T
Nagaoka
Hiroyuki
H
Kagokawa
Satoshi
S
Ishiko
Akitoshi
A
Yoshida