Macular hole secondary to a subretinal hemorrhage.
OBJECTIVE
To report a case of a full-thickness macular hole developing after a subretinal hemorrhage in a patient with age-related macular degeneration (AMD).


METHODS
A 75-year-old woman was followed with sequential fluorescein angiography and optical coherence tomography from her initial presentation to postoperative follow-up.


RESULTS
The patient presented with sudden visual loss in her left eye. Fluorescein angiography showed AMD with a significant subretinal hemorrhage. Five months later, the visual acuity of her left eye had further deteriorated and examination revealed that a full-thickness macular hole had developed. Surgical treatment achieved complete anatomic closure of the macular hole with significant improvement in the visual acuity of the affected eye.


CONCLUSIONS
A full-thickness macular hole may rarely develop following a subretinal hemorrhage. In such cases, surgical closure can improve the functional outcome.
From *Schulich School of Medicine and Dentistry, University of Western Ontario; and †Ivey Eye Institute, London, Ontario, Canada.
Michael J
MJ
Wan
Tom G
TG
Sheidow