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CASE REPORT
Year : 2020  |  Volume : 2  |  Issue : 1  |  Page : 15

Closure of a full-thickness idiopathic macular hole in a young patient treated with pneumatic vitreolysis


1 Clínica Oftalmológica Paredes, Pasto, Nariño, Colombia
2 Fundación Oftalmologica de Santander Clínica Carlos Ardila Lülle (FOSCAL), Universidad Industrial de Santander (UIS), Universidad Autónoma de Bucaramanga, Floridablanca, Colombia

Correspondence Address:
Dr. David Paredes Saa
Carrera, 42A, 18A – 56 Piso Quinto, Pasto, Nariño
Colombia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/PAJO.PAJO_14_20

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The idiopathic full-thickness macular hole is characterized by a total thickness anatomical defect in the foveal retina leading to a reduction of central vision. Although there are several reports about the natural course of the disease and its outcome, the spontaneous closure frequency varies widely in literature reviews. Treatment options include pars plana vitrectomy, pharmacological vitreolysis, and pneumatic vitreolysis. A 30-year-old male was referred to us with a complaint of decreased vision in his right eye and metamorphopsia for nearly 2 months without a history of trauma. The diagnosis was based on fundoscopic and optical coherence tomography (OCT). OCT revealed a large full-thickness idiopathic macular hole (422 μm) without vitreomacular traction. The intravitreal gas injection was performed. Three months later, in follow-up by OCT, total closure of the macular hole was noted. The aim is to report a case of idiopathic total thickness macular hole closure with a single application of C3F8 gas.


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