Open AccessFull-Thickness Macular Hole Due to Choroidal Neovascularization in the Setting of Pathologic Myopia
Author(s) -
Austin Pereira,
Brian G. Ballios,
David Sarraf,
Peng Yan
Publication year - 2022
Publication title -
journal of vitreoretinal diseases
Language(s) - English
Resource type - Journals
eISSN - 2474-1272
pISSN - 2474-1264
DOI - 10.1177/24741264221104592
Subject(s) - medicine , ophthalmology , choroidal neovascularization , optical coherence tomography , retinoschisis , macular hole , fundus (uterus) , macular degeneration , visual acuity , optometry , vitrectomy , retinal , retinal detachment
Purpose: To present a case of myopic choroidal neovascularization (CNV) leading to a full-thickness macular hole (MH) in a patient with macular schisis. Methods: A single case was evaluated. Results: A 65-year-old woman presented with myopic staphyloma and foveoschisis in both eyes. One month after the baseline presentation for myopic macular schisis, the patient presented with a paracentral scotoma in the left eye. Examination showed a submacular hemorrhage in the left eye. Optical coherence tomography of the left eye showed subretinal fluid and subretinal hyperreflective material in the fovea, suggestive of exudative myopia, and a small full-thickness MH (diameter 86 µm). After anti-vascular endothelial growth factor injections, the CNV showed interval improvement; however, a larger full-thickness MH (diameter 287 µm) developed in the left eye. Conclusions: A full-thickness MH developed secondary to CNV, leading to foveal dehiscence in an eye with baseline macular schisis.