Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Falkner-Radler, CI; Gabriel, M; Binder, S.
Spontaneous closure of an idiopathic macular hole 9 months after unsuccessful vitreoretinal surgery.
Retin Cases Brief Rep. 2014; 8(3): 157-60.
Doi: 10.1097/ICB.0000000000000030
(- Case Report)
PubMed
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- Co-Autor*innen der Med Uni Graz
- Gabriel Maximilian
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- Abstract:
- PURPOSE: To report spontaneous closure of a persistent idiopathic macular hole (MH) 9 months after cataract and vitreoretinal surgery, and subsequent gas reinjection. METHODS: Baseline and follow-up examinations after surgery included slit-lamp biomicroscopy, best-corrected distance visual acuity and near visual acuity, spectral domain optical coherence tomography, and microperimetry. RESULTS: Spectral domain optical coherence tomography scans showed a persistent MH after surgery until 5 months of follow-up, with an increasing base diameter of the MH and decreasing best-corrected visual acuity. Nine months after surgery, spontaneous closure of the MH with an improvement in best-corrected visual acuity was observed. These findings remained stable at 15 months of follow-up, with an additional increase in retinal sensitivity. CONCLUSION: Spontaneous closure of a persistent Stage 3 full-thickness MH after primary surgery is possible. We recommend follow-up examinations including spectral domain optical coherence tomography for several months before scheduling a reoperation.
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