Case report shows resolution of lamellar macular hole in a 67-year-old woman with cystoid macular edema, indicating potential for non-surgical treatment options.
Rationale: Lamellar macular holes (LMHs) typically require surgical intervention, posing inherent risks. This case explores a non-surgical alternative: suprachoroidal triamcinolone injection, previously used for cystoid macular edema (CME) due to retinal vein occlusion, which unexpectedly resulted in LMH resolution. The significance lies in potentially expanding treatment options for LMH beyond surgery. Patient concerns: A 67-year-old female presented with bilateral visual impairment following retinal vein and artery occlusions. This was further complicated by a degenerative lamellar hole in the right eye identified via optical coherence tomography imaging, contributing to significantly reduced visual acuity in both eyes. Diagnoses: The patient’s history of retinal vascular occlusions led to the development of CME. optical coherence tomography revealed a degenerative lamellar hole in the right macula. Interventions: The patient received 2 suprachoroidal triamcinolone acetonide injections via a custom-made needle, initially intended to address the CME. Outcomes: Following the injections, the lamellar hole in the right eye resolved, and the patient experienced improvements, though the degree of visual acuity improvement is not fully specified in the abstract. Lesson: Suprachoroidal triamcinolone acetonide injections may offer a non-surgical treatment option for LMHs associated with CME secondary to retinal vein occlusion. Further research is needed to confirm these findings and determine the efficacy and safety of this approach in a larger patient population.
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Ghedda et al. (2025) studied this question.
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