ABSTRACT
We report a case of spontaneous closure of stage-II macular hole. A 66 years old lady presented with decreased vision in her left eye for the last 3 months. Her vision was 6/18 in right eye and finger counting at 3 feet in left eye. Optical coherence tomography showed stage-II macular hole in left eye. There was attachment of vitreous at the edge of the hole. Minimal hole diameter was 119 µ. Macular hole surgery was planned. During follow-up, hole started closing spontaneously. Nine months later, the hole closed and posterior hyaloid membrane separated from the macula. Visual acuity improved to 6/24. The purpose of this case report is to show that stage-II macular hole may close spontaneously with relief of vitreomacular traction.
Subject(s)
Remission, Spontaneous , Retinal Perforations/physiopathology , Aged , Female , Humans , Retinal Perforations/etiology , Tomography, Optical Coherence , Treatment Outcome , Visual AcuityABSTRACT
OBJECTIVE: To evaluate the clinical, angiographic and optical coherence tomographic features of central serous chorioretinopathy in patients presenting at a tertiary care centre in Lahore. METHODS: The observational study was conducted at the Layton Rehmatulla Benevolent Trust Eye and Cancer Hospital Lahore from July 15, 2010 to December 15, 2011. Patients who had received prior treatment for the condition and allergy to fluorescein were excluded. There were 86 eyes of 64 adult patients with central serous chorioretinopathy. The following data was recorded: history, signs and symptoms, best corrected visual acuity, fundus fluorescein angiography, and central macular thickness measurement with optical coherence tomography. Data was analyzed using SPSS 17. RESULTS: Mean age of patients who presented during the study duration was 39.52 +/- 8.85 years.There were 53 (82.8%) males and 11(17.2%) females. Of the total, 42 (65.6%) cases had unilateral and 22 (34.4%) cases had bilateral involvement. Chronic central serous chorioretinopathy was seen in 27 (42.2%) cases while 37 (57.8%) cases were acute presentations. Retinal pigment epithelial detachment was observed in 29 (45.3%) cases. On fundus fluorescein angiography, there were 62 (72.1%) eyes that showed ink blot pattern. Median visual acuity at presentation was 0.25. Median central macular thickness at presentation was 550.5micro. CONCLUSION: Central serous chorioretinopathy in the study sample was associated with pigment epithelial detachment, bilateral involvement, and presence of systemic diseases.
