A Case of Bilateral Macular Holes Showing Onset and Spontaneous Closure over Very Short Intervals

Abstract

Purpose: Idiopathic macular holes (MHs) may occur bilaterally, and the spontaneous closure of MHs was documented previously. The median interval between the onset of MHs in each eye was reported to be 17.5 months. Method: We report a case of bilateral MHs which occurred and resolved spontaneously over a very short interval. Results: A 48-year-old woman with no history of ocular disease complained of a central scotoma and metamorphopsia in the left eye. Stage 1A MH was diagnosed in the left eye on the initial visit, which resolved spontaneously with vitreofoveal separation after 1 month. After an additional month, she complained of a similar visual disturbance in the right eye. Stage 1B MH was found in the right eye, which showed spontaneous closure after 1 month in the same manner as the left eye. Conclusion: We present a unique case of bilateral MHs which occurred and resolved spontaneously within a very short time period. Careful observation of the non-involved eye is needed to address the risk of early onset bilateral MHs.

Keywords

• Bilateral macular holes
• Early onset
• Spontaneous closure
• Vitreofoveal separation