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T. Kamisasanuki, A. Uemura, T. Sakamoto; Late Re-Opening and Spontaneous Closure of Macular Holes After Initially Succesful Treatment with Vitreous Surgery. Invest. Ophthalmol. Vis. Sci. 2007;48(13):4109.
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We reported two cases of re-opening and spontaneous closure ofmacular holes after succesful treatment with pars plana vitrectomy.
Case 1 was a 71-years-old male,the visual acuity (VA) of left eye was 20/200, and ophthalmic examination showed macular hole in the light eye in 2003.Case 2 was a 71-years-old male, VA of left eye was 20/240, and ophthalmic examination showed macular hole in the light eye in 2003.In both cases, cataract surgery and pars plana vitrectomy were performed, without internal limited membrane peeling and with use of 20% SF6 gas.
Case 1, the hole closed after 1 week from the initial surgey in 2003, but the hole reopened with cystoid macular edema (CME) after 8 months and VA was 20/60. After 1 more month, the hole closed spontaneously, which was confirmed by optical coherence tomography (OCT). Final VA was 20/40 in 2005.Case 2, the hole closed 1 week after the initial surgery in 2003.The hole reopened with CME after 20 months and VA was 20/60. After 1 month, the hole spontaneously closed with improvement of CME, but after 1 more year, the hole opened again. After 2 months, the hole closed at third time, but after 4 more months, the hole reopened and visual acuity was 20/60 in 2006.
Repeated closure and reopening of macular hole were observed after vitrectomy and CME might play some role in this phenomenon.
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