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Case report
Conversion from type 2 to type 1 macular hole closure after surgery in high myopia
  1. Ramesh Venkatesh1,
  2. Arpitha Pereira2,
  3. Nikitha Gurram Reddy1 and
  4. Naresh Kumar Yadav1
  1. 1Departemnt of Retina and Vitreous, Narayana Nethralaya, Bengaluru, Karnataka, India
  2. 2Ophthalmology, Abergele Hospital, Abergele, UK
  1. Correspondence to Dr Arpitha Pereira; arpitha.pereira{at}wales.nhs.uk

Abstract

We describe a case of spontaneous conversion from type 2 macular hole (MH) closure to type 1 closure following MH surgery in high myopia. A 42-year-old male patient with myopia was diagnosed with full-thickness MH and localised neurosensory detachment. His best-corrected vision in the right eye was 20/120, N18. He underwent pars plana vitrectomy with internal limiting membrane peeling and silicone oil tamponade. Nine days after surgery, optical coherence tomography (OCT) showed type 2 MH closure and presence of epiretinal tissue. At 6 weeks of follow-up, there was spontaneous conversion from type 2 to type 1 closure of MH with a thin epimacular tissue bridging across the fovea and vision improving to 20/80. At 3 months after surgery, silicon oil removal was done. OCT showed a closed type 1 MH and visual acuity of 20/80 at the final visit. Early spontaneous conversion in closure can occur over time, leading to better anatomical and visual outcomes.

  • ophthalmology
  • macula
  • retina

https://doi.org/10.1136/bcr-2021-243551

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    Footnotes

    • Contributors RV: treated the patient and wrote the manuscript; NGR: data/image acquisition and review of the manuscript; NKY and AP: review of the manuscript; all authors read and approved the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.