International Journal of Retina and Vitreous (Jul 2018)

Idiopathic full thickness macular hole in a 10-year-old girl

  • Li-Anne S. Lim,
  • Guillermo Fernandez-Sanz,
  • Steven Levasseur,
  • John R. Grigg,
  • Alex P. Hunyor

DOI
https://doi.org/10.1186/s40942-018-0128-9
Journal volume & issue
Vol. 4, no. 1
pp. 1 – 5

Abstract

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Abstract Background Macular holes in children are generally associated with trauma. Case presentation We report the first case of an idiopathic full thickness macular hole in a 10-year-old girl. 23-gauge transconjunctival pars plana vitrectomy, induction of a posterior vitreous detachment, ILM blue-assisted internal limiting membrane peel, fluid–air exchange and air-26% sulfur hexafluoride (SF6) exchange was performed with subsequent macular hole closure. Conclusion This is the first reported case of an idiopathic full thickness macular hole in a child. Treatment with pars plana vitrectomy with peeling of the ILM resulted in significant anatomic and functional improvement.

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