SCLEROCHOROIDAL CALCIFICATION PRESENTING WITH UNILATERAL FULL-THICKNESS MACULAR HOLE: PRESENTATION AND SUCCESSFUL SURGICAL CLOSURE.

PURPOSE: Describe a case of macular hole (MH) presenting in a patient with sclerochoroidal calcification (SCC). Only one previous case of an MH in the setting of SCC has previously been reported; however, that case was observed without surgery. We present a case of an MH in SCC in which successful surgical closure and visual acuity improvement were achieved.

METHODS

Case report.

RESULTS

A 70-year-old man presented for retinal evaluation of metamorphopsia with a visual acuity of 20/25 in the right eye and 20/300 in the left eye. Fundoscopic examination showed bilateral SCC. Ultrasonographic B-scan examination of the left eye was consistent with SCC. An optical coherence tomography showed a full thickness MH in the left eye, and surgical repair with pars plana vitrectomy, internal limiting membrane peel, and gas was performed. Postoperatively, the visual acuity in the left eye was 20/50; the examination and optical coherence tomography showed anatomic success with closure of the MH and stable SCC lesions.

CONCLUSION

SCC may be associated with full thickness MH, possibly secondary to tangential traction from the elevated lesion. Despite the SCC lesion, successful MH closure may be achieved with typical maneuvers of vitrectomy, internal limiting membrane peel, and gas.