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CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 3  |  Page : 257-259

Spontaneous closure of stage 3 full-thickness macular hole after vitreomacular traction release in a renal transplant patient -a case report


1 Division of Retina, Jeddah Eye Hospital, Jeddah, Saudi Arabia
2 Department of Ophthalmology, College of Medicine, Qassim University, Al Qassim, Saudi Arabia
3 Division of Retina, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Adel Gady AlAkeely
Retina Division, King Khaled Eye Specialist Hospital, P.O. Box 7191, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijot.ijot_27_20

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The aim of our study is to describe spontaneous closure of a macular hole (MH) after vitreomacular traction (VMT) release in a 62-year-old patient with a history of renal transplant 6 months ago who was on tacrolimus, mycophenolate mofetil, nifedipine, and atorvastatin. The patient presented to our practice complaining of poor vision in his right eye for the past 6 months. On examination, he showed a full-thickness MH, Stage III, and VMT in the right eye evident in OCT which is an indication for surgical intervention. However, we elected to observe the patient upon his request. On further follow-up, visual acuity improved and OCT showed release of the VMT and closure of the MH. We attribute the release of the VMT to vitreolytic properties of atorvastatin. Our report highlights the possibility of observation of Stage 3 MHs in patients on atorvastatin as an option for the management.


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