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Purpose: Report a case of a recurrent macular hole which completely resolved with a non-surgical approach with steroid drops. Observations: While traction is considered the mayor contributor to full thickness macular hole formation, retinal hydration as that in cystoid macular edema also plays an important role. Conclusions and Importance: Topical corticosteroid drops can be considered as an alternative therapy for small recurrent macular holes that lack tractional components and have an appearance of cystoid changes on the edges of the hole. Keywords: Macular hole, Topical drops, Corticosteroid drops, Macular hole closure