Case Study: Macular Hole

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Macular Hole Case Study

Case study of Macular Hole

Macular hole

This paper reviews the presentation, causes, and different treatment options for a patient with a macular hole. The background of the case study is that of a young woman who develops two macular holes in rapid succession, the case initially presenting itself in the form of blurred vision. The conclusion of surgery, although not entirely successful underlines the need for prompt treatment of the condition.

A macular hole may be defined as a small break in the macula, a part of the eye located near the retina (Macular hole, 2014, NIH). The first symptoms of a macular hole from the patient's perspective are blurred vision and difficulty in seeing fine detail during activities such as reading and driving. Usually, macular holes are related to the aging process and are more likely to occur in patients over the age of 60 (Macular hole, 2014, NIH). This is one reason why the symptoms of macular hole are so often ignored, given that the patient often mistakes them for the normal vision complications of getting older.

When a macular hole has formed, the inside of the eye fills with gel-like vitreous, with age the vitreous grows smaller and eventually pulls away from the retina, causing the hole if it remains attached to the retina (Macular hole, 2014, NIH). Some macular holes can seal themselves and require no intensive treatment other than monitoring by a physician, but the majority of macular holes require surgery However, while macular hole is more common in aging individuals, it can still present itself in younger people, as can be seen in the case of Patient D.Y.

Case report

D.Y. is a twenty-five-year-old woman of Hmong ancestry who developed macular holes in both of her eyes in a short period of time. Over a period of two months, D.Y. noticed that her vision was deteriorating. She experienced episodes of blurriness in her right eye and extreme vertigo when she spent long periods of time reading or using the computer. Although she said she was concerned about the costs of treatment, she had no choice but to see a physician when her symptoms became severe. D.Y's physician listened to her describe her symptoms in detail and examined her vision. Although macular hole in a person as young as D.Y. is unusual, the condition is twice as common in women as men of all ages. Causes other than age include retinal detachment; retinal swelling injury to the eye; and extreme myopia (Macular hole, 2013, NHS).

D.Y. had myopia and astigmatism, requiring her to wear either glasses or eye contact lenses. During the examination it was found that she did have the ability to identify different colors but lacked proper eye muscle coordination and had high pressure in her right eye (25mmHg). An ophthalmoscope discovered the retinal holes and detachments. Ocular ultrasonography indicated measurements of the eye were not in the normal range and there was a pulling away of the retina from the back of the eye (retinal detachment) and swelling.

Fortunately for D.Y., the physician was… [END OF PREVIEW]

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APA Format

Macular Hole.  (2014, January 13).  Retrieved July 15, 2019, from https://www.essaytown.com/subjects/paper/macular-hole-case-study/7846146

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"Macular Hole."  13 January 2014.  Web.  15 July 2019. <https://www.essaytown.com/subjects/paper/macular-hole-case-study/7846146>.

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"Macular Hole."  Essaytown.com.  January 13, 2014.  Accessed July 15, 2019.
https://www.essaytown.com/subjects/paper/macular-hole-case-study/7846146.