{"title":"自发性大全层黄斑孔闭合延迟发生。","authors":"Muntadher Al Karam, Rike Michels, Stephan Michels","doi":"10.1097/ICB.0000000000001750","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Reporting this rare case of spontaneous delayed-onset full-thickness macular hole (ftMH) closure after unsuccessful initial surgical treatment encourages to have new perspectives on the mechanism behind this retinal process.</p><p><strong>Methods: </strong>Uneventful 27-gauge vitrectomy was performed in a 71-year-old female patient for large (460 µm) macular hole (MH). The surgery was combined with peeling of the ILM, SF6 tamponade and head down positioning for 3 days. No closure of the MH was detected within 4 weeks after surgery and visual acuity remained unchanged. The patient refused a re-vitrectomy.</p><p><strong>Results: </strong>More than four years after surgery a progressive closure of the macular hole was detected clinically and on optical coherence tomography with recovery of vision to 0.4 LogMAR (20/50).</p><p><strong>Conclusion: </strong>This rare case shows that full mechanisms of macular hole closure yet remain unclear and need to be studied further.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"DELAYED ONSET OF SPONTANEOUS LARGE FULL THICKNESS MACULAR HOLE CLOSURE.\",\"authors\":\"Muntadher Al Karam, Rike Michels, Stephan Michels\",\"doi\":\"10.1097/ICB.0000000000001750\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Reporting this rare case of spontaneous delayed-onset full-thickness macular hole (ftMH) closure after unsuccessful initial surgical treatment encourages to have new perspectives on the mechanism behind this retinal process.</p><p><strong>Methods: </strong>Uneventful 27-gauge vitrectomy was performed in a 71-year-old female patient for large (460 µm) macular hole (MH). The surgery was combined with peeling of the ILM, SF6 tamponade and head down positioning for 3 days. No closure of the MH was detected within 4 weeks after surgery and visual acuity remained unchanged. The patient refused a re-vitrectomy.</p><p><strong>Results: </strong>More than four years after surgery a progressive closure of the macular hole was detected clinically and on optical coherence tomography with recovery of vision to 0.4 LogMAR (20/50).</p><p><strong>Conclusion: </strong>This rare case shows that full mechanisms of macular hole closure yet remain unclear and need to be studied further.</p>\",\"PeriodicalId\":53580,\"journal\":{\"name\":\"Retinal Cases and Brief Reports\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Retinal Cases and Brief Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/ICB.0000000000001750\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retinal Cases and Brief Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/ICB.0000000000001750","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
DELAYED ONSET OF SPONTANEOUS LARGE FULL THICKNESS MACULAR HOLE CLOSURE.
Purpose: Reporting this rare case of spontaneous delayed-onset full-thickness macular hole (ftMH) closure after unsuccessful initial surgical treatment encourages to have new perspectives on the mechanism behind this retinal process.
Methods: Uneventful 27-gauge vitrectomy was performed in a 71-year-old female patient for large (460 µm) macular hole (MH). The surgery was combined with peeling of the ILM, SF6 tamponade and head down positioning for 3 days. No closure of the MH was detected within 4 weeks after surgery and visual acuity remained unchanged. The patient refused a re-vitrectomy.
Results: More than four years after surgery a progressive closure of the macular hole was detected clinically and on optical coherence tomography with recovery of vision to 0.4 LogMAR (20/50).
Conclusion: This rare case shows that full mechanisms of macular hole closure yet remain unclear and need to be studied further.
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