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:: Volume 25, Issue 3 (Spring 2021) ::
3 2021, 25(3): 283-288 Back to browse issues page
Spontaneous Resolution of Macular Lamellar Hole; A Case Report and Review of Literature
Abstract:   (936 Views)
Purpose: To report a case of spontaneous closure of macular lamellar hole, and to discuss its probable mechanisms.
Case Report: A 70-year-old woman with a diagnosis of SLE and chronic usage of hydroxychloroquine, presented to our clinic for routine retinal examinations. Her best corrected visual acuity was 7.10 in both eyes, with a senile lens opacity and no sign of retinal HCQ toxicity. On examination and macular OCT of her left eye, a thick epiretinal membrane with the adjacent lamellar hole was detected. As there were no indications for surgical intervention, she was followed without any treatment. On 1-year follow-up examination, the ERM was seen but the hole was closed, and macular OCT of the left eye approved spontaneous closure of the hole.
Conclusion: Herein we report a case of spontaneous resolution of the macular lamellar hole, an event not reported in the literature, in addition to presenting a brief review on pathophysiology and treatment of ERM and lamellar holes. Although the resolution of retinal edema or change in ERM can alter tractional features of a macular hole resembling spontaneous whole closure, in our case there was no retinal edema, and the epiretinal membrane showed no change on follow-up examinations.
 
 
Keywords: Epiretinal Membrane, Lamellar Macular Hole, Resolution  
Full-Text [PDF 381 kb]   (430 Downloads)    
Type of Study: case report | Subject: Ophthalmology
ePublished: 2021/05/31
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Spontaneous Resolution of Macular Lamellar Hole; A Case Report and Review of Literature. 3 2021; 25 (3) :283-288
URL: http://binajournal.org/article-1-1096-en.html


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Volume 25, Issue 3 (Spring 2021) Back to browse issues page
مجله چشم‌پزشکی بینا Bina Journal of Ophthalmology
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