Optical coherence tomography images of spontaneous macular hole closure

Abstract

Purpose: To investigate optical coherence tomography images of spontaneous macular hole closure.

Method: Case report. In a 60-year-old woman with full-thickness macular hole, posterior vitreous detachment, and previous branch retinal vein occlusion, we observed the entire course of spontaneous macular hole closure by use of optical coherence tomography.

Results: Spontaneous macular hole closure began as the inward protrusion of the tissue around the margin of the macular hole. The protruding tissue then connected to bridge the macular hole, which mimicked a foveal retinal detachment. The bridged tissue gradually thickened, and the foveal detachment and perifoveal cysts resolved. The fovea eventually regained its normal configuration.

Conclusions: The bridging of the protruding retinal tissue over the macular hole plays a key role in spontaneous macular hole closure.