Spontaneous closure of a macular hole secondary to an accidental laser injury

Additional procedures comprised stripping of an early epiretinal membrane 1 and adjuvant therapy with autologous thrombocyte concentrate. 2 The rationale for surgical treatment was relief of tangential traction on the edges of the hole and reattachment of the retina by gas tamponade, as for idiopathic macular holes. 8 It is, however, important to recognise that laser induced macular holes can resolve spontaneously. Internal limiting membrane changes induced by laser injuries are capable of spontaneous regression, as demonstrated by reports of significant macular pucker improving spontaneously. 6 9 Reparative events within the neurosensory retina and RPE may also influence macular hole closure, comprising fibroglial and retinal pigment epithelial hyperplasia. 10 Surgical intervention for laser induced macular holes should therefore not be considered before a reasonable period of observation.