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

Reinherz BJ, Rubin JS - Case Rep Ophthalmol (2016)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: St. Johns Episcopal Hospital, New York, N.Y., USA.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

OCT and corresponding scanning laser ophthalmoscopy images OS of initial intraretinal exudate and VMT (a), subsequent FTMH formation (b), and spontaneous macular hole closure with persistent VMT (c).
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Figure 1: OCT and corresponding scanning laser ophthalmoscopy images OS of initial intraretinal exudate and VMT (a), subsequent FTMH formation (b), and spontaneous macular hole closure with persistent VMT (c).

Mentions: A 28-year-old male with PDR, fibrovascular proliferation, and macular edema in both eyes complained of sudden-onset blurred vision in his left eye (OS). The patient had been treated over a 2-year period with focal and scatter laser photocoagulation as well as intravitreal bevacizumab therapy to treat both the proliferative retinopathy and macular edema. Two weeks prior to the onset of his new symptoms, the patient had a best corrected visual acuity (BCVA) of 20/40 OS and a new mild vitreous hemorrhage due to PDR in his left eye which was treated with an intravitreal bevacizumab injection. Examination on the day of the patient's new symptoms revealed a BCVA of 20/50 OS. Spectral domain optical coherence tomography (OCT, Spectralis, Heidelberg Engineering, Heidelberg, Germany) showed a taut anterior-posterior nasal vitreomacular membrane and an adjacent FTMH, measuring 363 µm at its base (fig. 1). The patient was started on topical bromfenac 0.9% OS every 12 h (b.i.d.) for adjunctive retinal edema management. Eight weeks later, the patient's BCVA improved to 20/30 OS and OCT examination revealed spontaneous closure of the macular hole and persistent VMT in the nasal macula (fig. 1). The macular hole continues to remain closed 9 months following spontaneous closure.


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

Reinherz BJ, Rubin JS - Case Rep Ophthalmol (2016)

OCT and corresponding scanning laser ophthalmoscopy images OS of initial intraretinal exudate and VMT (a), subsequent FTMH formation (b), and spontaneous macular hole closure with persistent VMT (c).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4836124&req=5

Figure 1: OCT and corresponding scanning laser ophthalmoscopy images OS of initial intraretinal exudate and VMT (a), subsequent FTMH formation (b), and spontaneous macular hole closure with persistent VMT (c).
Mentions: A 28-year-old male with PDR, fibrovascular proliferation, and macular edema in both eyes complained of sudden-onset blurred vision in his left eye (OS). The patient had been treated over a 2-year period with focal and scatter laser photocoagulation as well as intravitreal bevacizumab therapy to treat both the proliferative retinopathy and macular edema. Two weeks prior to the onset of his new symptoms, the patient had a best corrected visual acuity (BCVA) of 20/40 OS and a new mild vitreous hemorrhage due to PDR in his left eye which was treated with an intravitreal bevacizumab injection. Examination on the day of the patient's new symptoms revealed a BCVA of 20/50 OS. Spectral domain optical coherence tomography (OCT, Spectralis, Heidelberg Engineering, Heidelberg, Germany) showed a taut anterior-posterior nasal vitreomacular membrane and an adjacent FTMH, measuring 363 µm at its base (fig. 1). The patient was started on topical bromfenac 0.9% OS every 12 h (b.i.d.) for adjunctive retinal edema management. Eight weeks later, the patient's BCVA improved to 20/30 OS and OCT examination revealed spontaneous closure of the macular hole and persistent VMT in the nasal macula (fig. 1). The macular hole continues to remain closed 9 months following spontaneous closure.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: St. Johns Episcopal Hospital, New York, N.Y., USA.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus