Successful Treatment of Full-Thickness Macular Hole in Polypoidal Choroidal Vasculopathy With Anti-VEGF Therapy

Purpose: This report discusses the case of an 86-year-old man with a full-thickness macular hole (FTMH) secondary to polypoidal choroidal vasculopathy (PCV) treated with bevacizumab. Methods: A case report is presented. Results: An 86-year-old man presented with a 5-month history of metamorphopsia and decreased vision in his right eye and was found to have active exudation secondary to PCV with a concurrent FTMH. After 4 treatments with intravitreal bevacizumab, the FTMH resolved without surgical intervention. Conclusions: The patient’s FTMH resolved with solely pharmacologic treatment as a result of treating his PCV with intravitreal bevacizumab. Macular hole formation secondary to PCV is a rare finding, but may be successfully treated with pharmacologic therapy without surgical intervention.

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Spontaneous Formation and Closure of Full-thickness Macular Hole after Intravitreal Injection of Aflibercept in Patient with Polypoidal Choroidal Vasculopathy

Journal of Retina ◽

10.21561/jor.2020.5.1.61 ◽

2020 ◽

Vol 5 (1) ◽

pp. 61-65

Author(s):

Kang Min Lee ◽

Kunho Bae

Keyword(s):

Intravitreal Injection ◽

Macular Hole ◽

Polypoidal Choroidal Vasculopathy ◽

Full Thickness ◽

Spontaneous Formation ◽

Full Thickness Macular Hole ◽

Choroidal Vasculopathy

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Postvitrectomy full-thickness macular hole and retinal detachment in a case of polypoidal choroidal vasculopathy

BMJ Case Reports ◽

10.1136/bcr-2021-246503 ◽

2021 ◽

Vol 14 (11) ◽

pp. e246503

Author(s):

Ridham Nanda ◽

Suman Sahu ◽

Brijesh Takkar ◽

Srikanta Kumar Padhy

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Polypoidal Choroidal Vasculopathy ◽

Full Thickness ◽

Full Thickness Macular Hole ◽

Choroidal Vasculopathy

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Macular Hole Progression after Intravitreal Bevacizumab for Hemicentral Retinal Vein Occlusion

Case Reports in Ophthalmological Medicine ◽

10.1155/2011/679751 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Manish Nagpal ◽

Vikram Mehta ◽

Kamal Nagpal

Keyword(s):

Visual Acuity ◽

Macular Edema ◽

Macular Hole ◽

Retinal Vein Occlusion ◽

Intravitreal Bevacizumab ◽

Full Thickness ◽

Detailed Review ◽

Off Label ◽

Vein Occlusion ◽

Full Thickness Macular Hole

Macular edema secondary to retinal vein occlusion is commonly being treated with off-label intravitreal bevacizumab with good outcomes. A significant reduction in macular edema and improvement in visual acuity is seen following such a treatment with no serious adverse effects. In the reported case, a full-thickness macular hole was noticed one month after intravitreal bevacizumab for macular edema secondary to hemicentral retinal vein occlusion. On a detailed review of the pre- and postoptical coherence tomography scans, it was realized that there was a preexisting stage 2-3 macular hole which was masked by the hemorrhages and edema at the fovea and the macular hole had progressed following the injection.

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Arc flash macular hole

European Journal of Ophthalmology ◽

10.1177/1120672120976230 ◽

2020 ◽

pp. 112067212097623

Author(s):

Ruminder Kaur ◽

Prateek Koul

Keyword(s):

Laser Beam ◽

Macular Hole ◽

Electric Shock ◽

Light Exposure ◽

Full Thickness ◽

Bright Flash ◽

Macular Holes ◽

Full Thickness Macular Hole ◽

History Of ◽

Arc Flash

Macular holes are common. Lightening, direct electric shock induced and laser beam induced macular holes are though rare. Reporting a case of spark flashlight (Arc Flash) induced macular hole in an electrician, which has never been reported. A 19 year old male electrician by profession presented to our clinic with a history of exposure to a bright flash light from spark of wires while at work that led to decrease of vision in his both eyes. Examination revealed a full thickness macular hole in his right eye and loss of foveal photoreceptors in the left eye. Arc flash light exposure in electricians can lead to macular holes too adding a new entity to the already existing types of macular holes.

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