Bilateral full thickness macular holes in association with serpiginous choroiditis.
OBJECTIVE
To report serpiginous choroiditis associated with full thickness macular holes (FTMH).


METHODS
Interventional case report.


METHODS
A 58-year-old female with bilateral serpiginous choroiditis developed right-sided blurred vision and metamorphopsia. Ocular assessment, FFA, OCT, and right macular hole surgery were performed.


RESULTS
Preoperative visual acuity was 6/36 right, 6/9 left. Fundus assessment found bilateral geographic chorioretinal scarring, epiretinal membranes, right FTMH, and mild vitritis. OCT revealed bilateral FTMHs. Pars plana vitrectomy, membrane peel, and gas tamponade resulted in right macular hole closure, visual acuity improvement (6/18) and resolution of metamorphopsia.


CONCLUSIONS
Macular hole may be another posterior segment complication of serpiginous choroiditis.
Gregory
Maria Elena
ME
Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, UK.
Bhatt
Uday
U
Benskin
Sherwin
S
Banerjee
Somnath
S
D002833:Choroiditis / Q000150:complications*; D019773:Epiretinal Membrane / Q000601:surgery; D005260:Female; D005451:Fluorescein Angiography; D005466:Fluorocarbons / Q000008:administration & dosage; D005654:Fundus Oculi; D006801:Humans; D008875:Middle Aged; D012167:Retinal Perforations / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods
D005466:Fluorocarbons; C042852:perflutren