Complete Closure of a Full-thickness Macular Hole Associated with Diabetic Macular Edema and Vitreo-retinal Adhesion During Treatment with Bevacizumab and Hemodialysis - A Case Report
Sahar Khayat1* and Basel Alahmar 2
1Family Medicine, Johns Hopkins Aramco, Saudi Arabia
2Opthalomology, Johns Hopkins Aramco, Saudi Arabia
*Corresponding Author: Sahar Khayat, Family Medicine, Johns Hopkins Aramco, Saudi Arabia.
Received:
April 24, 2022; Published: May 2, 2022
Abstract
Idiopathic full-thickness macular hole closure is a well-documented observation. Total posterior vitreous detachment is what presumed to lead to the macular hole closure. Diabetic retinopathy is known to worsen the prognosis of FTMH compared to that of an idiopathic etiology. We report a case of a 60-year-old male with severe non proliferative diabetic retinopathy, diabetic macular edema and epi-retinal membrane who developed a full-thickness macular hole. The patient had spontaneous closure of the macular hole during treatment with anti- vascular endothelial growth factor bevacizumab regular injections almost 6 months after starting 3 weekly hemodialysis for kidney failure.
Keywords: Macular Edema; Case Report; Hemodialysis; Diabetic Retinopathy; Retina
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