Spontaneous Closure of Macular Hole in A Patient with ChoroidalNeovascular Membrane
Abstract
Spontaneous closure of a full thickness macular holeis a rare event and usually surgery is needed. A 71 year-old-woman had been followed with the diagnosis of age related macular degeneration (AMD). Four years ago she had complained with sudden vision drop. Visual acuities were 0.05 and 1.0 in right and in left eyes, respectively. On optical coherence tomography examination full thickness macular hole and dry type AMD were detected in her right eye. During follow up it was determined that dry type AMD had changed to wet form and choroidalneovascular membrane (CNVM) had developed. The macular hole had spontenously closed and visual acuity increased despite active CNVM and epiretinal membrane.Choroidalneovascular membrane may facilitate macular hole closure and observation for spontenous closure before surgery may be an option for patients that have these two combined pathologies.
Keywords
choroidal neovascular membrane, macular hole, optical cohorence tomography
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