Skip to main content

Advertisement

SpringerLink
Log in

Spontaneous resolution of a full thickness idiopathic macular hole: fundus autofluorescence and OCT imaging

  • Case Report
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Background

To report on the spontaneous closure of a full thickness juxtafoveolar idiopathic macular hole (IMH) monitored with fundus autofluorescence (AF) as well as optical coherence tomography (OCT) imaging.

Methods

Observational case report. Fundus Autofluorescence with a confocal SLO (HRA, Heidelberg Engineering,Germany) and OCT imaging were used to monitor the spontaneous evolution of a stage II IMH.

Results

A 70 year-old woman with unremarkable ocular history received a diagnosis of idiopathic macular hole in the left eye. Bright autofluorescence corresponding to the IMH was documented with the confocal SLO and OCT imaging could confirm the presence of an hour glass shaped full thickness juxtafoveolar IMH. Biomicroscopy revealed no posterior vitreous detachment (PVD). Few months later clinical examination demonstrated the presence of typical symptoms and signs of PVD (miodesopsias and Weiss ring). The bright autofluorescence corresponding to the IMH disappeared and OCT imaging documented a normal fovea in morphology and thickness.

Conclusions

Spontaneous closure of full thickness juxtafoveolar IMH can occur and may be properly monitored with fundus AF as well as OCT imaging.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Gass JDM (1995) Reappraisal of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol 119:752–759

    PubMed  CAS  Google Scholar 

  2. Azzolini C, Patelli F, Brancato R (2001) Correlation between optical coherence tomography data and biomicroscopic interpretation of idiopathic macular hole. Am J Ophthalmol 132:348–355

    Article  PubMed  CAS  Google Scholar 

  3. Von Ruckmann A, Fitzke FW, Bird AC (1995) Distribution of fundus autofluorescence with a scanning laser ophthalmoscope. Brit J Ophthalmol 79:407–412

    Google Scholar 

  4. Von Ruckmann A, Fitzke FW, Gregor ZJ (1998) Fundus autofluorescence in patients with macular holes imaged with a laser scanning ophthalmoscope. Brit J Ophthalmol 82:346–351

    Article  Google Scholar 

  5. Ciardella AP, Lee GC, Langton K, Sparrow J, Chang S (2004) Autofluorescence as a novel approach to diagnosing macular holes. Am J Ophthalmol 137:956–959

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, San Giuseppe Hospital, Milano, Italy

    L. Carmassi & F. Bottoni

  2. Department of Ophthalmology, Fatebenefratelli Hospital, Corso di Porta Nuova 23, Milano, 20100, Italy

    P. Milani & P. Seidenari

Authors
  1. P. Milani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Seidenari
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L. Carmassi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Bottoni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to P. Milani.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Milani, P., Seidenari, P., Carmassi, L. et al. Spontaneous resolution of a full thickness idiopathic macular hole: fundus autofluorescence and OCT imaging. Graefes Arch Clin Exp Ophthalmol 245, 1229–1231 (2007). https://doi.org/10.1007/s00417-006-0530-0

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-006-0530-0

Keywords

Search

Navigation