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Case Reports
. 2018 Jul 11:4:25.
doi: 10.1186/s40942-018-0128-9. eCollection 2018.

Idiopathic full thickness macular hole in a 10-year-old girl

Li-Anne S Lim  1   2 , Guillermo Fernandez-Sanz  1 , Steven Levasseur  1 , John R Grigg  1   2 , Alex P Hunyor  1   2
Affiliations
Case Reports

Idiopathic full thickness macular hole in a 10-year-old girl

Li-Anne S Lim et al. Int J Retina Vitreous. .

Abstract

Background: Macular holes in children are generally associated with trauma.

Case presentation: We report the first case of an idiopathic full thickness macular hole in a 10-year-old girl. 23-gauge transconjunctival pars plana vitrectomy, induction of a posterior vitreous detachment, ILM blue-assisted internal limiting membrane peel, fluid-air exchange and air-26% sulfur hexafluoride (SF6) exchange was performed with subsequent macular hole closure.

Conclusion: This is the first reported case of an idiopathic full thickness macular hole in a child. Treatment with pars plana vitrectomy with peeling of the ILM resulted in significant anatomic and functional improvement.

Keywords: Children; Macular hole.

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Figures

Fig. 1
Fig. 1
Colour fundus photograph of the right eye shows a full thickness macular hole
Fig. 2
Fig. 2
Horizontal high definition spectral domain OCT of the right eye shows a full thickness macular hole
Fig. 3
Fig. 3
Horizontal high definition spectral domain OCT of the right eye 1 week post operatively shows closure of the macular hole
Fig. 4
Fig. 4
Horizontal high definition spectral domain OCT of the right eye 1 month post operatively shows further improvement in macular architecture
See this image and copyright information in PMC

References

    1. Alexandre de Amorim Garcia Filho C, Yehoshua Z, Gregori G, et al. et al. Optical coherence tomography. In: Schachat A, Wilkinson C, Hinton D, et al.et al., editors. Ryan’s Retina. 5. Beijing: Saunders; 2013. p. 89. - PubMed
    1. American Academy of Ophthalmology Retina/Vitreous Panel. Preferred practice pattern®guidelines. Idiopathic macular hole. San Francisco: American Academy of Ophthalmology; 2014. www.aao.org/ppp.
    1. Huang J, Liu X, Wu Z, et al. Comparison of full-thickness traumatic macular holes and idiopathic macular holes by optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2010;248:1071–1075. doi: 10.1007/s00417-009-1226-z. - DOI - PubMed
    1. Park JC, Frimpong-Ansah KN. Idiopathic macula hole in a child. Eye. 2012;26:620–621. doi: 10.1038/eye.2011.367. - DOI - PMC - PubMed
    1. Johnson RN, McDonald R, Lewis H, et al. Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery. Ophthalmology. 2001;108:853–857. doi: 10.1016/S0161-6420(00)00650-3. - DOI - PubMed

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