Spontaneous Late Reopening of a Successfully Operated and Closed Full-Thickness Macular Hole: A Case Report

A 37-year-old male who presented with gradual, progressive, and painless diminution of vision in the right eye was diagnosed with climatic droplet keratopathy and total retinal detachment with full-thickness macular hole. Penetrating keratoplasty with temporary keratoprosthesis combined with total pars plana vitrectomy, internal limiting membrane peeling, fluid air exchange, 360° endolaser, and silicone oil injection was done. Postoperatively, the retina was well attached, and macular OCT showed a type 2 V-shaped closure. Later, it went on to a type 4 open closure and reopening of the hole after 1 year. Reopening of a successfully repaired (with internal limiting membrane peeling) and closed full-thickness macular hole without any evidence of known contributing factors (epiretinal membrane, cataract surgery, trauma, and cystoid macular edema) is very rare. Further studies are necessary to elucidate the factors that may be involved in the recurrence of full-thickness macular holes.