Choroidal neovascularization in an eye with a macular hole

We report the case of a 68-year-old woman who initially presented with an idiopathic macular hole OD and atrophic macular degenerative changes and who subsequently developed subretinal neovascularization OU. The subretinal neovascularization evolved through the macular hole OD and decreased visual a...

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Bibliographic Details
Published inAnnals of ophthalmology (Birmingham) Vol. 21; no. 9; p. 331
Main Authors Smith, T, Magargal, L E, Donoso, L A, Magargal, H O, Robb-Doyle, E
Format Journal Article
LanguageEnglish
Published United States 01.09.1989
Subjects
Aged
Choroid - blood supply
Female
Fluorescein Angiography
Follow-Up Studies
Fundus Oculi
Humans
Light Coagulation
Macula Lutea - pathology
Neovascularization, Pathologic - diagnosis
Retinal Perforations - complications
Visual Acuity
Visual Fields
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Summary:We report the case of a 68-year-old woman who initially presented with an idiopathic macular hole OD and atrophic macular degenerative changes and who subsequently developed subretinal neovascularization OU. The subretinal neovascularization evolved through the macular hole OD and decreased visual acuity to counts fingers, but the membrane was successfully treated OS with krypton laser photocoagulation and stabilization of visual acuity at 20/50 over the eight-year postoperative follow-up. This is the first report, to our knowledge, of a membrane developing through a macular hole. This may be a more common occurrence than reported due to obscuring of details from hemorrhage and exudate as part of the disciform process.
ISSN:0003-4886