AI Article Synopsis
- A 75-year-old man experienced visual loss for a year due to a full-thickness macular hole in his right eye, with no treatment recommended initially.
- Fourteen months later, he developed subretinal hemorrhage and was found to have a choroidal neovascular membrane, leading to laser treatment.
- This case is significant as it's only the 10th reported instance of choroidal neovascularization associated with a full-thickness macular hole, and only the second without other risk factors.
Article Abstract
Background: Choroidal neovascularization (CNV) occurs in association with a variety of retinochoroidal disorders. However, it is not normally known to form after an untreated macular hole.
Case Report: A 75-year-old black male presented with a 12-month history of visual loss in his right eye. Funduscopy showed a full-thickness macular hole in the right eye. No treatment was recommended because the decrease in vision appeared to be long standing. Fourteen months later, the patient was noted to have a subretinal hemorrhage superior to the macular hole. Fluorescein angiography revealed an adjacent choroidal neovascular membrane, and focal krypton laser photocoagulation was performed. Recurrent CNV was noted 6 months later, and additional photocoagulation was performed.
Discussion: This case represents the 10th case reported of CNV with a full-thickness macular hole and only the second of a patient with an untreated macular hole and no other risk factors for CNV.
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| http://dx.doi.org/10.1097/00006324-200309000-00005 | DOI Listing |
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