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Review
. 2020 Jan;68(1):241-244.
doi: 10.4103/ijo.IJO_354_19.

Pediatric idiopathic macular hole - A case report and review of literature

Nawazish Shaikh  1 , Vinod Kumar  1 , Nitesh Salunkhe  1 , Shreya Nayak  1 , Shoryavardhan Azad  1
Affiliations
Review

Pediatric idiopathic macular hole - A case report and review of literature

Nawazish Shaikh et al. Indian J Ophthalmol. 2020 Jan.

Abstract

Macular hole in the pediatric age group is usually post-traumatic unlike, the adult counterpart. Herein we describe a case of idiopathic macular hole occurring in a 9-year-old male who presented to us with complaints of diminution of vision in OD (oculus dextrus) for 2 months. The child underwent 25-gauge pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling. On follow-up his best-corrected visual acuity improved with type 1 closure of macular hole.

Keywords: Macular hole; nontraumatic macular hole; pediatric idiopathic macular hole.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Colour fundus photograph of OD showing the presence of a full-thickness macular hole (FTMH) with regular margins and no posterior vitreous detachment (PVD) (a). Swept-source optical coherence tomography (SS-OCT) confirmed the FTMH with cystoid changes at the edges and no PVD (b). Colour fundus photograph of OS showing normal foveal reflex (c) and SS-OCT showing normal foveal contour (d)
Figure 2
Figure 2
Ultra-wide field fundus image of OD showing no peripheral lesion (a). Ultra-wide field fluorescein angiography showing central hyperfluorescence (window defect) corresponding to the macular hole in OD (b). Ultra-Wide field fundus image (c) and Fluorescein angiography of OS (d) was unremarkable
Figure 3
Figure 3
Postoperative week 1 colour photo and SS-OCT of OD showing type 1 closure of the macular hole with the discontinuous ellipsoid zone (a and b). Postoperative month 2 colour photo and SS-OCT showing a small residual defect in the ellipsoid zone and dissociated nerve fibre layer (c and d)
Figure 4
Figure 4
Postoperative year 2 colour photo and SS-OCT showing type 1 macular hole closure with the restoration of the ellipsoid zone with a deep foveal contour (a and b)
See this image and copyright information in PMC

References

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