American Journal of Ophthalmology Case Reports · Published 2026-05-02 · DOI 10.1016/j.ajoc.2026.102589
Purpose: To report a case of spontaneous closure of full-thickness macular hole in highly myopic eye. Observation: A 68-year-old female with a known history of high myopia presented for routine annual ophthalmologic evaluation. Optical coherence tomography (OCT) was performed revealing an incidental finding of a full-thickness macular hole (FTMH) in the left eye. Given the patient's stable vision and absence of symptoms, a decision was made to observe without surgical intervention. At the 3-month follow-up, repeat OCT demonstrated spontaneous closure of the macular hole with structural and functional improvement of the photoreceptors. Conclusion and importance: Routine imaging in myopic patients can reveal silent but potentially vision-threatening lesions such as macular holes. Although uncommon, spontaneous closure of FTMH in myopic eyes can occur and warrants consideration in patient counselling and management decisions with appropriate caution regarding long-term stability.
Abstract from DOAJ. Public domain (CC0 1.0).
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