Fourth time lucky: a case of multiple recurrence of a macular hole

We present the case of a patient who has undergone four macular hole operations for late multiple recurrences. The same experienced ophthalmologist confirmed the presence of each macular hole and performed each operation. A 55 year old female myope, –3.75 D right eye and −3.5 D left eye, was referred to the vitreoretinal clinic with a 2 month history of right visual disturbance. On presentation, her visual acuities were 6/9 right eye and 6/60 left eye. Fundal examination and fluorescein angiography showed a right stage I macular hole and a left stage IV macular hole. As the left macular hole was long standing, it was decided not to operate on this eye. Two months later the right visual acuity was reduced further to 6/36 because of progression to a stage II macular hole …