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BMJ Case Rep. 2010; 2010: bcr0620103086.
Published online 2010 November 29. doi:  10.1136/bcr.06.2010.3086
PMCID: PMC3027948
Unexpected outcome (positive or negative) including adverse drug reactions

Spontaneous resolution of grade 2 macular hole observed with optical coherence tomography


A 56-year-old woman presented with decreased vision and metamorphopsia in her left eye for 3 months. She received a diagnosis of stage 2 idiopathic macular hole in her left eye, which was made with a tomographic image of a full-thickness dehiscence of the neurosensory retina at the fovea. The posterior hyaloid membrane was adhering to the edge of the dehiscence. After a 6-month follow-up period, spontaneous resolution of the macular hole was observed with good visual recovery; all of this clearly demonstrated by optical coherence tomography. The posterior hyaloid membrane was fully separated from the fovea with restoration of almost normal foveal contour.

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