Closure Without Surgery: A Report of Two Cases with Spontaneous Idiopathic Small Full-Thickness Macular Hole Closure

Full-thickness macular hole (FTMH) is a complete defect of the neurosensory retina located in the central fovea. Spontaneous closure incidence in idiopathic FTMHs ranges from 3-15%. Of these cases, 62.7% were female, with a mean age of 67.5 years. Contrary to the existing literature, 2 rare cases of small FTMH with a predominance of male patients are presented. The common features observed in the spectral-domain optical coherence tomography images of both cases include small (≤250 μm) FTMH, schisis at the edges of the hole, the presence of an operculum associated with recently detached posterior vitreous from the fovea, and elevation of the ellipsoid zones at the margins of the macular hole.