Spontaneous closure of full thickness macular hole in the presence of an epiretinal membrane in a vitrectomised eye. A Case Report

Abstract

Purpose: To report a case of spontaneous closure of full thickness macular hole (FTMH) in the presence of an epiretinal membrane (ERM) in a previously vitrectomized eye.

Case: The patient underwent vitrectomy for rhegmatogenous retinal detachment and developed an epiretinal membrane 2 weeks after the surgery which laterconverted into a full thickness macular hole after 1 week.The aperture and base diameter of FTMH was recorded.

Result: Eight months after vitrectomy, spontaneous closure of FTMH was observed with an improvement in best-corrected visual acuity (BCVA). These findings remained stable at 21 months of follow-up, with an additional increase in BCVA.

Conclusion: Spontaneous closure of FTMH is possible even in the presence of an ERM. Follow up examination with optical coherence tomography(OCT) may be considered before surgery for FTMH, particularly if the surgery is scheduled after a few weeks.

Key Words: FTMH, Epiretinal Membrane, Vitrectomy for RRD,

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