MULTIPLE LATE RECURRENCES OF MACULAR HOLE AFTER VITRECTOMY AND EPISODE OF SPONTANEOUS CLOSURE IN A SINGLE EYE.

PURPOSE: To report the novel finding of multiple recurrences of full-thickness macular hole in a 70-year-old woman with one episode of spontaneous closure. METHODS: Case report of a 70-year-old woman who initially presented with a full-thickness macular hole who developed 3 subsequent recurrences of full-thickness macular hole over a duration of 4 years. Spontaneous closure was noted at the second recurrence. Institutional review board was not applicable for this case. RESULTS: Combination of three recurrences of full-thickness macular hole with successful closure after vitrectomy as well as a single episode of spontaneous closure. CONCLUSION: This is a novel report in an adult patient with three recurrences of full-thickness macular hole in a previously vitrectomized eye along with an episode of spontaneous closure.

SPONTANEOUS CLOSURE OF A MACULAR HOLE RESULTING FROM YAG LASER CAPSULOTOMY IN A 13-YEAR-OLD GIRL.

PURPOSE: To describe the novel finding of spontaneous resolution of a full-thickness macular hole resulting from YAG laser capsulotomy in a 13-year-old girl with previous history of retinal detachment repair and cataract surgery. METHODS: A 13-year-old girl who had developed a macular hole after YAG laser was noted to have spontaneous resolution of the macular hole at 2-week follow-up visit with concurrent increase in visual acuity. Institutional review board was not applicable for this case. RESULTS: Spontaneous resolution of a YAG laser-induced macular hole in a pediatric patient. CONCLUSION: This is a novel report in a pediatric patient of spontaneous resolution of a full-thickness macular hole induced by YAG laser capsulotomy. If a macular hole is noted after YAG capsulotomy, consideration should be given to initial close observation rather than surgical intervention as spontaneous resolution may occur.

Trends in Radiation Practices for Female Ocular Oncologists in North America: A Collaborative Study of the International Society of Ocular Oncology.

BACKGROUND: The aim of this study was to determine the known radiation exposure, attitudes, and consequent risk modifications among female ocular oncologists in North America who routinely administer radioactive plaque brachytherapy treatment and are members of the International Society of Ocular Oncology. METHODS: Nineteen female ocular oncologists completed an anonymous 17-question radiation exposure survey. RESULTS: Eleven of the participants chose to routinely wear lead protection during surgery; 8 did not. Fifteen of 19 participants reported using an unloaded "nonactive" template to prepare for plaque implantation. During pregnancy, 11 of 13 participants continued to perform plaque brachytherapy. Eight of these 11 undertook measures to decrease radiation exposure self-reported as lead wear and other. The average reported anxiety regarding fertility was 2.1 (SD, 2.2) on a scale from 1 to 10. CONCLUSION: This study corroborates prior literature that surgeons' exposure to radiation during plaque brachytherapy is minimal. Nonetheless, there remains some anxiety regarding exposure risk to women, due to potential effects on fertility and fetal health. We found variability in exposure monitoring, required training, and precautions during pregnancy amongst this group of surgeons. Improved education and clearer pregnancy guidelines may equip female ocular oncologists with optimal knowledge regarding risk of radiation exposure.