Spontaneous closure of stage 3 full-thickness macular hole after vitreomacular traction release in a renal transplant patient -a case report

The exact pathogenesis of macular hole (MH) is controversial with most of the cases being idiopathic. Trauma is an important cause of secondary MH formation. MH post Pars Plana Vitrectomy (PPV) is an even rare entity with only a handful of cases reported so far ( Kumagai et al, 2008; Smiddy W.E, 1993; Kimura et al, 2005). An even rarer event is spontaneous closure of post PPV full thickness macular hole (FTMH), though spontaneous closure of traumatic macular hole (TMH) has been reported before. Herein, we report a 26 year old male patient who developed FTMH post PPV that closed spontaneously.

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Spontaneous Closure of a Full-Thickness Macular Hole Associated with Proliferative Diabetic Retinopathy and Persistent Vitreomacular Traction

Case Reports in Ophthalmology ◽

10.1159/000444657 ◽

2016 ◽

Vol 7 (1) ◽

pp. 163-166 ◽

Cited By ~ 1

Author(s):

Benjamin J. Reinherz ◽

Jeffrey S. Rubin

Keyword(s):

Diabetic Retinopathy ◽

Macular Hole ◽

Proliferative Diabetic Retinopathy ◽

Spontaneous Closure ◽

Vitreomacular Traction ◽

Full Thickness ◽

Macular Holes ◽

Full Thickness Macular Hole ◽

Idiopathic Macular Holes

Diabetic retinopathy worsens the prognosis of macular holes compared to those of idiopathic etiology. While spontaneous closure of idiopathic macular holes is a well-documented phenomenon, spontaneous closure of macular holes associated with proliferative diabetic retinopathy is rare. We report a case of spontaneous closure of a macular hole associated with proliferative diabetic retinopathy and persistent vitreomacular traction.

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Early structural changes during spontaneous closure of idiopathic full-thickness macular hole determined by optical coherence tomography: a case report

BMC Research Notes ◽

10.1186/1756-0500-6-396 ◽

2013 ◽

Vol 6 (1) ◽

Cited By ~ 6

Author(s):

Akiko Okubo ◽

Kazuhiko Unoki ◽

Keita Yamakiri ◽

Munefumi Sameshima ◽

Taiji Sakamoto

Keyword(s):

Optical Coherence Tomography ◽

Case Report ◽

Macular Hole ◽

Structural Changes ◽

Spontaneous Closure ◽

Optical Coherence ◽

Full Thickness ◽

Full Thickness Macular Hole

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Spontaneous closure of stage IV idiopathic full-thickness macular hole and late reopening as a lamellar macular hole: a case report

Journal of Medical Case Reports ◽

10.1186/1752-1947-6-169 ◽

2012 ◽

Vol 6 (1) ◽

Cited By ~ 7

Author(s):

Miriam García Fernández ◽

Joaquín Castro Navarro

Keyword(s):

Case Report ◽

Macular Hole ◽

Stage Iv ◽

Spontaneous Closure ◽

Lamellar Macular Hole ◽

Full Thickness ◽

Full Thickness Macular Hole

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Spontaneous Closure of Large Full-Thickness Macular Hole in a Patient with Degenerative Myopia: Case Report

Turkish Journal of Ophthalmology ◽

10.4274/tjo.galenos.2020.83530 ◽

2021 ◽

Vol 51 (3) ◽

pp. 184-187

Author(s):

Murat Yüksel ◽

Hüseyin Baran Özdemir ◽

Murat Hasanreisoğlu

Keyword(s):

Case Report ◽

Macular Hole ◽

Spontaneous Closure ◽

Full Thickness ◽

Full Thickness Macular Hole

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Ureteral Obstruction Due to Calculi in the Early Postoperative Period in Renal Cadaveric Transplantation: A Case Report and Discussion of Ureteral Obstruction in the Renal Transplant Patient

The Journal of Urology ◽

10.1016/s0022-5347(01)67555-4 ◽

1995 ◽

Vol 153 (4) ◽

pp. 1211-1213 ◽

Cited By ~ 8

Author(s):

Sean P. Heron ◽

David P. O'Brien ◽

John D. Whelchel ◽

John F. Neylan

Keyword(s):

Case Report ◽

Renal Transplant ◽

Postoperative Period ◽

Ureteral Obstruction ◽

Renal Transplant Patient ◽

Transplant Patient ◽

Early Postoperative Period ◽

Cadaveric Transplantation

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A case report of tigecycline induced acute pancreatitis in a renal transplant patient and review of the literature: Should we avoid tigecycline in patients on calcineurin inhibitors?

Transplant Infectious Disease ◽

10.1111/tid.13593 ◽

2021 ◽

Author(s):

Bercemhan Yazirli ◽

Emre Kara ◽

Ahmet Cagkan Inkaya ◽

Sarpcan Maden ◽

Ugur Ozberk ◽

...

Keyword(s):

Acute Pancreatitis ◽

Case Report ◽

Renal Transplant ◽

Renal Transplant Patient ◽

Transplant Patient ◽

Calcineurin Inhibitors ◽

Review Of The Literature

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Development of Stage 4 Macular Hole after Spontaneous Closure in a Patient with Stage 2 Macular Hole and a Lamellar Macular Hole-Associated Epiretinal Proliferation

Case Reports in Ophthalmology ◽

10.1159/000513132 ◽

2021 ◽

pp. 481-484

Author(s):

Masahisa Watanabe ◽

Harumasa Yokota ◽

Hiroshi Aso ◽

Hirotsugu Hanazaki ◽

Junya Hanaguri ◽

...

Keyword(s):

Visual Acuity ◽

Macular Hole ◽

Spontaneous Closure ◽

Surgical Removal ◽

Lamellar Macular Hole ◽

Full Thickness ◽

Stage 4 ◽

Full Thickness Macular Hole ◽

The Right ◽

Hole Closure

Herein, we report the longitudinal observation of a case with reopening of the macular hole associated with a lamellar macular hole-associated epiretinal proliferation (LHEP) followed by spontaneous closure in patients with stage 2 idiopathic macular hole. A 64-year-old woman was referred for the decreased visual acuity (VA) and acute anorthopia in the right eye. Funduscopy and optical coherence tomography (OCT) showed stage 2 full-thickness macular hole without posterior vitreous detachment (PVD) and operculum formation. Her best-corrected visual acuity (BCVA) was 20/32. One month later, the diameter of the macular hole was getting small and VA improved. Six months later, the macular hole was treated spontaneously with the attached hyaloid membrane to the macula by OCT and the BCVA improved to 20/20. Fourteen months after the first visit, the BCVA decreased to 20/50 and the patient was diagnosed with stage 4 macular hole with complete PVD. OCT showed full-thickness macular hole with a LHEP in the right eye. After 25G-gauge vitrectomy with the peeling of internal limiting membrane (ILM) and LHEP, the macular hole was closed and BCVA finally improved to 20/25. Spontaneous macular hole closure without PVD may rarely occur in patients with LHEP. The surgical removal of ILM and LHEP may contribute to the successful macular hole closure after vitrectomy.

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