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- Title
Closure of a full-thickness idiopathic macular hole in a young patient treated with pneumatic vitreolysis.
- Authors
Paredes Saa, David; Paredes, Laura; Mario Rangel, Carlos
- Abstract
The idiopathic full-thickness macular hole is characterized by a total thickness anatomical defect in the foveal retina leading to a reduction of central vision. Although there are several reports about the natural course of the disease and its outcome, the spontaneous closure frequency varies widely in literature reviews. Treatment options include pars plana vitrectomy, pharmacological vitreolysis, and pneumatic vitreolysis. A 30-year-old male was referred to us with a complaint of decreased vision in his right eye and metamorphopsia for nearly 2 months without a history of trauma. The diagnosis was based on fundoscopic and optical coherence tomography (OCT). OCT revealed a large full-thickness idiopathic macular hole (422 µm) without vitreomacular traction. The intravitreal gas injection was performed. Three months later, in follow-up by OCT, total closure of the macular hole was noted. The aim is to report a case of idiopathic total thickness macular hole closure with a single application of C3F8 gas.
- Subjects
PARS plana; INTRAVITREAL injections; OPTICAL coherence tomography; GAS injection; OCULAR injuries; DIAGNOSIS
- Publication
Pan-American Journal of Ophthalmology, 2020, Vol 2, Issue 1, p1
- ISSN
2666-4909
- Publication type
Article
- DOI
10.4103/PAJO.PAJO_14_20