Spontaneous Closing Lamellar Hole

A 71-year-old man initially presented with 20/20 vision, and on examination had a posterior vitreous detachment with lamellar hole and associated epiretinal proliferation in the right eye.

(A). The patient was observed, and 2 years later the epiretinal proliferation had extended temporally and also bridged across to the foveal center.

(B). Six years after presentation, vision had decreased slightly to 20/30, but OCT showed filling of the lamellar hole with further spread of the epiretinal proliferation

(C). This case uniquely demonstrates the resolution of a lamellar macular hole by extension of epiretinal proliferation.

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