Purpose
To report a single case of macular hole opening, spontaneous closure, and reopening in the three month period after pars plana vitrectomy for rhegmatogenous retinal detachment
Methods
Case report
Patient
A 59-year-old man with a macula-sparing rhegmatogenous retinal detachment who underwent uncomplicated pars plana vitrectomy with gas tamponade
Results
The patient developed a full-thickness macular hole two months post-operatively. The hole was noted to spontaneously close three months post-operatively, but then reopened four months post-operatively and required repeat pars plana vitrectomy and inner limiting membrane peel for definitive closure. The rapidity with which the macular hole developed after pars plana vitrectomy for macula-sparing rhegmatogenous retinal detachment and its dynamic behavior have not been previously reported.
Conclusions
Full-thickness macular holes may rarely develop rapidly, spontaneous close, and reopen after pars plana vitrectomy for rhegmatogenous retinal detachment, even in macula-sparing cases.