Macular hole formation, spontaneous closure, and reopening in severe hypertensive chorioretinopathy

Abstract

Macular hole is rarely reported in severe hypertensive chorioretinopathy, and spontaneous closure of a macular hole is uncommon. We report a case of reopening after spontaneous closure of a full-thickness macular hole in a patient with severe hypertensive chorioretinopathy.

Impact of Internal Limiting Membrane Peeling on Macular Hole Reopening

“…58 These findings suggest that reparative mechanisms involved in macular hole closure confer sufficient strength to withstand the tensile forces associated with cystoid macular edema. 58 Anecdotal reports have also suggested potential associations with macular hole reopenings and patients with retinitis pigmentosa, 59 hypertensive chorioretinopathy, 60 and those who have recently undergone neodymium-doped yttrium aluminium garnet capsulotomy. 61 The main limitations of this study are the possibility of having missed relevant publications and that the studies included to make up the data set of this metaanalysis are mostly retrospective series in nature, rather than prospective, randomized, controlled clinical trials.…”

Spontaneous closure of stage IV idiopathic full-thickness macular hole and late reopening as a lamellar macular hole: a case report

“…However, the spontaneous closure of stage III and IV idiopathic macular holes has been reported in less than 15 cases in the literature, this being an extremely rare event [1-8]. Furthermore, there are only two reports about spontaneous reopening of a spontaneously closed macular hole [9,10]. …”