Centrifugal enlargement of macular hole and macular detachment in a patient with bilateral giant macular holes

Retin Cases Brief Rep. Summer 2011;5(3):184-8. doi: 10.1097/ICB.0b013e3181f047b6.


Purpose: To report the detailed vitreomacular morphology of a case of progressive enlargement and macular detachment secondary to and several years after the development of bilateral giant macular holes using optical coherence tomography.

Methods: Using optical coherence tomography, both eyes of a patient with bilateral giant macular holes were examined.

Results: A 33-year-old woman had bilateral giant macular holes at the first visit. At the 5-year follow-up visit, the macular hole had enlarged centrifugally in the right eye, and a macular detachment developed beyond the arcade vessels in the left eye. Optical coherence tomography showed retinoschisis in the right eye around the edges of the hole and a macular detachment in the left eye with vitreoretinal adhesion temporal to both holes.

Conclusion: These optical coherence tomography findings suggested that vitreomacular traction at the temporal edge of the hole may have resulted in progressive centrifugal enlargement of the hole in both eyes and then the macular detachment occurred in the left eye.