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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 866

Spontaneous closure of macular hole after central retinal vein occlusion


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Vinod Kumar
Dr R P Centre, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2926_21

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How to cite this article:
Bhayana AA, Kumar V, Prasad P. Spontaneous closure of macular hole after central retinal vein occlusion. Indian J Ophthalmol Case Rep 2022;2:866

How to cite this URL:
Bhayana AA, Kumar V, Prasad P. Spontaneous closure of macular hole after central retinal vein occlusion. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 13];2:866. Available from: https://www.ijoreports.in/text.asp?2022/2/3/866/351159



A 60-year-old hypertensive female was planned for vitrectomy for stage 4 full-thickness macular hole[1] in her left eye [Figure 1]a and [Figure 1]b. Given the COVID-19 pandemic and lockdown, she followed up after 4 months. The best-corrected visual acuity remained the same at 20/200. Dilated fundus revealed spontaneous closure of the macular hole along with signs of central retinal vein occlusion (CRVO) and an epiretinal membrane [Figure 1]c and [Figure 1]d. The possible causes of spontaneous hole closure, in this case, may be CRVO-induced macular edema and/or centripetal forces due to the epiretinal membrane. PVD, a common cause of spontaneous hole closure, was ruled out by pre-existing PVD at the time of initial presentation [arrow [Figure 1]b].
Figure 1: (a) Fundus photograph showing left eye macular hole, (b) swept-source optical coherence tomography (SSOCT) showing full-thickness macular hole with detached posterior vitreous (arrow), (c) fundus photograph showing central retinal vein occlusion, (d) SSOCT showing closed hole with residual outer retinal layer defect, epiretinal membrane

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ho AC, Guyer DR, Fine SL. Macular hole. Surv Ophthalmol 1998;42:393-416.  Back to cited text no. 1
    


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