title: A case of a vitreomacular traction-associated macular microhole in an eye with focal choroidal excavation.
abstract: OBJECTIVE
  It was the aim of this study to report a case of a vitreomacular traction-associated macular microhole (MMH) in an eye with focal choroidal excavation (FCE) detected by spectral-domain optical coherence tomography (SD-OCT).
  
  
  METHODS
  A 38-year-old Japanese female presented to our clinic complaining of metamorphopsia in her left eye. The patient then underwent SD-OCT as well as a routine ophthalmological examination. She had a previous history of a macular hole in her right eye that had been successfully treated by pars plana vitrectomy.
  
  
  RESULTS
  Upon initial examination, her best-corrected visual acuity was 20/25 in the left eye with a refractive error of -10.25 diopters. Examination by SD-OCT revealed an MMH with an outer retinal defect adjacent to the FCE. SD-OCT also revealed an intraretinal cystoid space in the macula with vitreous attachment around the foveal center.
  
  
  CONCLUSIONS
  The findings of this report show that variable changes are likely to be associated with FCE. However, the etiology of FCE has yet to be fully elucidated and careful observation is necessary in cases of FCE.
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Masanori
authors: M
authors: Fukumoto
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Seita
authors: S
authors: Morishita
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Yoshitaka
authors: Y
authors: Okuda
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Hiroyuki
authors: H
authors: Suzuki
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Takaki
authors: T
authors: Sato
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Teruyo
authors: T
authors: Kida
authors: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors: Tsunehiko
authors: T
authors: Ikeda
keywords: Focal choroidal excavation; Macular microhole; Spectral-domain optical coherence tomography; Vitreomacular traction