Spontaneous closure of the large idiopathic full-thickness macular hole

Abstract

Dear Editor, Idiopathic full-thickness macular hole (FTMH) represents an interruption in all retina layers from the internal limiting membrane to the photoreceptors, is unrelated to any other ocular or systemic conditions, and usually affects older women. Disruption of the macula and fovea causes poor vision, metamorphopsia, and central scotoma. Optical coherence tomography (OCT) is used in the diagnosis, classification, management results, and follow-up. While spontaneous closure of traumatic MH in a few weeks following the trauma is a frequent event in the literature, the spontaneous closure of stage III and IV idiopathic MH is only sporadically reported. Standard procedures to close the MH and enhance visual function include sutureless, small incision vitrectomy, and internal limiting membrane peeling. Herein we report a case of a 76-year-old woman who presented with spontaneous closure of stage II idiopathic FTMH documented by OCT after the patient refused surgery and missed the advised regular follow-up due to the COVID-19 pandemic.