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Published in: BMC Ophthalmology 1/2014

Open Access 01-12-2014 | Case report

Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report

Authors: Jia Yu, Chunhui Jiang, Gezhi Xu

Published in: BMC Ophthalmology | Issue 1/2014

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Abstract

Background

Macular hole related retinal detachment is a common entity with poor surgical prognosis in highly myopic eyes. We describe the first case of spontaneous closure of a macular hole with complete retinal reattachment in a highly myopic eye with posterior staphyloma.

Case presentation

A 64-year-old Chinese woman with high myopia was diagnosed as having a macular hole-related retinal detachment with vitreo-retinal traction in her right eye by optical coherence tomography. Thirty-three months later, the macular hole closed, with formation of a lamellar hole and decreased retinal detachment. Twelve months later, retinal reattachment was found to have occurred, accompanied by the development of macular retinoschisis. Fifty-four months after initial examination, the retina remained attached with a lamellar hole and retinoschisis in the macular area. The vitreo-retinal traction persisted during the follow-up period.

Conclusion

As evidenced by the current case, in highly myopic eyes, the vitreoretinal traction force, which contributes to a macular hole and retinal detachment, could be partially released by the development of a lamellar hole or foveal schisis. This reduction of traction might contribute to retinal reattachment.
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Literature
1.
go back to reference Morita H, Ideta H, Ito K, Yonemoto J, Sasaki K, Tanaka S: Causative factors of retinal detachment in macular holes. Retina. 1991, 11: 281-284. 10.1097/00006982-199111030-00002.CrossRefPubMed Morita H, Ideta H, Ito K, Yonemoto J, Sasaki K, Tanaka S: Causative factors of retinal detachment in macular holes. Retina. 1991, 11: 281-284. 10.1097/00006982-199111030-00002.CrossRefPubMed
2.
go back to reference Li X, Wang W, Tang S, Zhao J: Gas injection versus vitrectomy with gas for treating retinal detachment owing to macular hole in high myopes. Ophthalmology. 2009, 116: 1182-1187. 10.1016/j.ophtha.2009.01.003. e1CrossRefPubMed Li X, Wang W, Tang S, Zhao J: Gas injection versus vitrectomy with gas for treating retinal detachment owing to macular hole in high myopes. Ophthalmology. 2009, 116: 1182-1187. 10.1016/j.ophtha.2009.01.003. e1CrossRefPubMed
3.
go back to reference Nakanishi H, Kuriyama S, Saito I, Okada M, Kita M, Kurimoto Y, Kimura H, Takagi H, Yoshimura N: Prognostic factor analysis in pars plana vitrectomy for retinal detachment attributable to macular hole in high myopia: a multicenter study. Am J Ophthalmol. 2008, 146: 198-204. 10.1016/j.ajo.2008.04.022.CrossRefPubMed Nakanishi H, Kuriyama S, Saito I, Okada M, Kita M, Kurimoto Y, Kimura H, Takagi H, Yoshimura N: Prognostic factor analysis in pars plana vitrectomy for retinal detachment attributable to macular hole in high myopia: a multicenter study. Am J Ophthalmol. 2008, 146: 198-204. 10.1016/j.ajo.2008.04.022.CrossRefPubMed
4.
go back to reference Ikuno Y, Sayanagi K, Oshima T, Gomi F, Kusaka S, Kamei M, Ohji M, Fujikado T, Tano Y: Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. Am J Ophthalmol. 2003, 136: 477-481. 10.1016/S0002-9394(03)00269-1.CrossRefPubMed Ikuno Y, Sayanagi K, Oshima T, Gomi F, Kusaka S, Kamei M, Ohji M, Fujikado T, Tano Y: Optical coherence tomographic findings of macular holes and retinal detachment after vitrectomy in highly myopic eyes. Am J Ophthalmol. 2003, 136: 477-481. 10.1016/S0002-9394(03)00269-1.CrossRefPubMed
5.
go back to reference Ripandelli G, Coppé AM, Fedeli R, Parisi V, D’Amico DJ, Stirpe M: Evaluation of primary surgical procedures for retinal detachment with macular hole in highly myopic eyes: a randomized comparison of vitrectomy versus posterior episcleral bucking surgery. Ophthalmology. 2001, 108: 2258-2264. 10.1016/S0161-6420(01)00861-2.CrossRefPubMed Ripandelli G, Coppé AM, Fedeli R, Parisi V, D’Amico DJ, Stirpe M: Evaluation of primary surgical procedures for retinal detachment with macular hole in highly myopic eyes: a randomized comparison of vitrectomy versus posterior episcleral bucking surgery. Ophthalmology. 2001, 108: 2258-2264. 10.1016/S0161-6420(01)00861-2.CrossRefPubMed
6.
go back to reference Inoue M, Arakawa A, Yamane S, Watanabe Y, Kadonosono K: Long-term outcome of macular microstructure assessed by optical coherence tomography in eyes with spontaneous resolution of macular hole. Am J Ophthalmol. 2012, 153: 687-691. 10.1016/j.ajo.2011.09.017.CrossRefPubMed Inoue M, Arakawa A, Yamane S, Watanabe Y, Kadonosono K: Long-term outcome of macular microstructure assessed by optical coherence tomography in eyes with spontaneous resolution of macular hole. Am J Ophthalmol. 2012, 153: 687-691. 10.1016/j.ajo.2011.09.017.CrossRefPubMed
7.
go back to reference Punjabi OS, Flynn HW, Legarreta JE, Gregori G, Knighton RW, Puliafito CA: Documentation by spectral domain OCT of spontaneous closure of idiopathic macular holes. Ophthalmic Surg Lasers Imaging. 2007, 38: 330-332.PubMed Punjabi OS, Flynn HW, Legarreta JE, Gregori G, Knighton RW, Puliafito CA: Documentation by spectral domain OCT of spontaneous closure of idiopathic macular holes. Ophthalmic Surg Lasers Imaging. 2007, 38: 330-332.PubMed
8.
go back to reference Imai M, Ohshiro T, Gotoh T, Imasawa M, Iijima H: Spontaneous closure of stage 2 macular hole observed with optical coherence tomography. Am J Ophthalmol. 2003, 136: 187-188. 10.1016/S0002-9394(02)02255-9.CrossRefPubMed Imai M, Ohshiro T, Gotoh T, Imasawa M, Iijima H: Spontaneous closure of stage 2 macular hole observed with optical coherence tomography. Am J Ophthalmol. 2003, 136: 187-188. 10.1016/S0002-9394(02)02255-9.CrossRefPubMed
9.
go back to reference Li Y, Jonas JB, Lu L: Spontaneous closure of highly myopic macular hole associated with retinal detachment. Acta Ophthalmol. 2014, 92: e408-e410. 10.1111/aos.12338.CrossRefPubMed Li Y, Jonas JB, Lu L: Spontaneous closure of highly myopic macular hole associated with retinal detachment. Acta Ophthalmol. 2014, 92: e408-e410. 10.1111/aos.12338.CrossRefPubMed
10.
go back to reference Ip MS, Baker BJ, Duker JS, Reichel E, Baumal CR, Gangnon R, Puliafito CA: Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography. Arch Ophthalmol. 2002, 120: 29-35. 10.1001/archopht.120.1.29.CrossRefPubMed Ip MS, Baker BJ, Duker JS, Reichel E, Baumal CR, Gangnon R, Puliafito CA: Anatomical outcomes of surgery for idiopathic macular hole as determined by optical coherence tomography. Arch Ophthalmol. 2002, 120: 29-35. 10.1001/archopht.120.1.29.CrossRefPubMed
11.
go back to reference Alkabes M, Padilla L, Salinas C, Nucci P, Vitale L, Pichi F, Burès-Jelstrup A, Mateo C: Assessment of OCT measurements as prognostic factors in myopic macular hole surgery without foveoschisis. Graefes Arch Clin Exp Ophthalmol. 2013, 251: 2521-2527. 10.1007/s00417-013-2347-y.CrossRefPubMed Alkabes M, Padilla L, Salinas C, Nucci P, Vitale L, Pichi F, Burès-Jelstrup A, Mateo C: Assessment of OCT measurements as prognostic factors in myopic macular hole surgery without foveoschisis. Graefes Arch Clin Exp Ophthalmol. 2013, 251: 2521-2527. 10.1007/s00417-013-2347-y.CrossRefPubMed
12.
go back to reference Benhamou N, Massin P, Haouchine B, Erginay A, Gaudric A: Macular retinoschisis in highly myopic eyes. Am J Ophthalmol. 2002, 133: 794-800. 10.1016/S0002-9394(02)01394-6.CrossRefPubMed Benhamou N, Massin P, Haouchine B, Erginay A, Gaudric A: Macular retinoschisis in highly myopic eyes. Am J Ophthalmol. 2002, 133: 794-800. 10.1016/S0002-9394(02)01394-6.CrossRefPubMed
13.
go back to reference Baba T, Ohno-Matsui K, Futagami S, Yoshida T, Yasuzumi K, Kojima A, Tokoro T, Mochizuki M: Prevalence and characteristics of foveal retinal detachment without macular hole in high myopia. Am J Ophthalmol. 2003, 135: 338-342. 10.1016/S0002-9394(02)01937-2.CrossRefPubMed Baba T, Ohno-Matsui K, Futagami S, Yoshida T, Yasuzumi K, Kojima A, Tokoro T, Mochizuki M: Prevalence and characteristics of foveal retinal detachment without macular hole in high myopia. Am J Ophthalmol. 2003, 135: 338-342. 10.1016/S0002-9394(02)01937-2.CrossRefPubMed
14.
go back to reference Akiba J, Konno S, Yoshida A: Retinal detachment associated with a macular hole in severely myopic eyes. Am J Ophthalmol. 1999, 128: 654-655. 10.1016/S0002-9394(99)00240-8.CrossRefPubMed Akiba J, Konno S, Yoshida A: Retinal detachment associated with a macular hole in severely myopic eyes. Am J Ophthalmol. 1999, 128: 654-655. 10.1016/S0002-9394(99)00240-8.CrossRefPubMed
15.
go back to reference Tanaka Y, Shimada N, Moriyama M, Hayashi K, Yoshida T, Tokoro T, Ohno-Matsui K: Natural history of lamellar macular holes in highly myopic eyes. Am J Ophthalmol. 2011, 152: 96-99. 10.1016/j.ajo.2011.01.021. e1CrossRefPubMed Tanaka Y, Shimada N, Moriyama M, Hayashi K, Yoshida T, Tokoro T, Ohno-Matsui K: Natural history of lamellar macular holes in highly myopic eyes. Am J Ophthalmol. 2011, 152: 96-99. 10.1016/j.ajo.2011.01.021. e1CrossRefPubMed
Metadata
Title
Spontaneous closure of a myopic macular hole with retinal reattachment in an eye with high myopia and staphyloma: a case report
Authors
Jia Yu
Chunhui Jiang
Gezhi Xu
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2014
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-14-111

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