Spontaneous Closure of a Macular Hole in Macular Telangiectasia Type 2

Varun Chandra; Rohan Merani; Alex P Hunyor; Mark Gillies

doi:10.1177/2474126420958907

Spontaneous Closure of a Macular Hole in Macular Telangiectasia Type 2

J Vitreoretin Dis. 2020 Oct 9;5(3):275-280. doi: 10.1177/2474126420958907. eCollection 2021 May-Jun.

Authors

Varun Chandra¹, Rohan Merani^{2

3

4

5}, Alex P Hunyor^{2

4

6}, Mark Gillies^{2

6}

Affiliations

¹ Royal Victorian Eye and Ear Hospital, East Melbourne, VIC, Australia.
² Save Sight Institute, University of Sydney, Sydney, NSW, Australia.
³ Faculty of Medicine and Health Sciences, Macquarie University, Macquarie Park, NSW, Australia.
⁴ Retina Associates, Chatswood, NSW, Australia.
⁵ Concord Repatriation General Hospital, Concord, NSW, Australia.
⁶ Sydney Eye Hospital, Sydney, NSW, Australia.

Abstract

Purpose: Spontaneous closure of a macular hole in macular telangiectasia type 2 (MacTel) with vision improvement is described.

Methods: A case report is presented.

Results: A 71-year-old man presented with a 1-week history of distorted vision in his left eye. Left visual acuity (LVA) was 20/80. Optical coherence tomography showed an almost full-thickness left macular hole with an intact internal limiting membrane drape. Small inner retinal cavitations were present at the right macula; multimodal imaging confirmed MacTel. Managed conservatively, at 5 months the patient's LVA had improved to 20/60, the defect was no longer full thickness, and the external limiting membrane had reconstituted. At the right macula, the inner cavitations grew and outer cavitations developed, but the external limiting membrane remained intact. At 32 months, right VA was 20/20 and LVA was 20/40.

Conclusions: This case of MacTel with spontaneous closure of a macular hole was associated with an overlying internal limiting membrane drape.

Keywords: OCT; macular hole; macular telangiectasia type 2.

Publication types

Case Reports