An untreated macular hole with adjacent choroidal neovascularization.
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.


METHODS
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.


CONCLUSIONS
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.
D000368:Aged; D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005654:Fundus Oculi; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D012086:Reoperation; D012164:Retinal Diseases / Q000209:etiology; D012167:Retinal Perforations / Q000150:complications* / Q000473:pathology