
Macular hole secondary to polypoidal choroidal vasculopathy
Author(s) -
Prabu Baskaran,
Utsab Pan
Publication year - 2017
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/meajo.meajo_30_16
Subject(s) - medicine , ophthalmology , indocyanine green , optical coherence tomography , macular hole , indocyanine green angiography , retinal pigment epithelium , fluorescein angiography , visual acuity , surgery , retinal , vitrectomy
We report a case of polypoidal choroidal vasculopathy (PCV) presented with massive submacular hemorrhage (SMH) and macular hole (MH). Spectral domain optical coherence tomography confirmed the presence of MH along with SMH and also revealed an extrafoveal-notched pigment epithelium detachment (PED) suggestive of PCV. Urgent pneumatic displacement with perfluoropropane (C3F8) was done. Indocyanine green angiography done 3 weeks later showed polyps in the superonasal macula corresponding to PED. Extrafoveal polyps were treated with laser photocoagulation. Inverted flap MH surgery was planned but the patient was lost to follow-up.