Introduction:

Idiopathic macular hole is characterized as central loss of visual acuity. Bilateral presentation occurs with a frequency from 4.8% to 30% and spontaneous closure for diameters less than 250 um is 3.5%.

Objective:

To describe the forms of presentation and alternative treatments in patients with idiopathic macular hole.

Case presentation:

We present a case of a 66-year-old female patient with no medical history presenting with a simultaneous bilateral idiopathic macular hole. Optical coherence tomography examination of the right eye showed 190 um and of the left eye 210 um. In the left eye she underwent surgical intervention and in the right eye she presented spontaneous closure with favorable anatomical and functional evolution.

Conclusions:

Idiopathic macular holes can present bilaterally and therapeutic options and surgical management are some of the alternatives for their care.

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