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Case Reports in Ophthalmological Medicine
Volume 2014 (2014), Article ID 182892, 3 pages
http://dx.doi.org/10.1155/2014/182892
Case Report

Spontaneous Closure of a Fully Developed Macular Hole in a Severely Myopic Eye

Ophthalmology, Department of Neuroscience, Polytechnic University of Marche, Ancona, Italy

Received 29 December 2013; Accepted 23 January 2014; Published 5 March 2014

Academic Editors: A. A. Bialasiewicz and T. Hayashi

Copyright © 2014 C. Bruè et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Myopic macular holes can be difficult to close with surgery and are frequently associated with retinal detachment. We report on a case of a macular hole in a severely myopic eye that underwent spontaneous closure. Methods. An observational case study. Results. A 55-year-old female was referred to Ophthalmology for a central scotoma and metamorphopsia in the right eye. Visual acuity was 1/20 in both eyes. Fundus examination showed loss of the foveal depression, with a small yellow ring in the center of the fovea in the right eye, and a tilted optic disc and peripapillary staphyloma bilaterally. Spectral domain optical coherence tomography (SD-OCT) revealed a fully developed macular hole with a rim of thickened and slightly elevated retina in the right eye. The patient refused surgery. After 4 years of follow-up, her visual acuity improved to 20/40 in the right eye, and SD-OCT revealed spontaneous sealing of the macular hole without bare retinal pigment epithelium. Conclusions. Myopic macular holes represent a challenge regarding their management, and the prognosis is often poor.