A Case of Choroidal Neovascularization Occurring after Macular Hole Surgery.

Kim, Kyu Seop; Lee, Won Ki

doi:2011.52.8.1009

J Korean Ophthalmol Soc > Volume 52(8); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(8):1009-1012.
DOI: https://doi.org/10.3341/jkos.2011.52.8.1009 Published online August 15, 2011.

A Case of Choroidal Neovascularization Occurring after Macular Hole Surgery.

Kyu Seop Kim, Won Ki Lee

Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea. wklee@catholic.ac.kr

황반원공 수술 후 발생된 맥락막신생혈관 1예

김규섭⋅이원기

Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Seoul, Korea

Abstract

PURPOSE
To report a case of choroidal neovascularization after successful macular hole surgery in an eye with macular drusen. CASE SUMMARY: A 66-year-old woman visited our clinic complaining of decreased visual acuity in her right eye. Fundoscopy showed a full thickness macular hole in the right eye and bilateral scattered drusen. The patient underwent uncomplicated pars plana vitrectomy, internal limiting membrane peeling using triamcinolone, and perfluoropropane (C3F8) gas tamponade. One month after vitrectomy, the macular hole was closed. Twenty-four months following the macular hole surgery, the patient presented with defective vision in the right eye. Fluorescein angiography showed classic subfoveal choroidal neovascularization. Intravitreal bevacizumab was administrated three times in the right eye; however, visual improvement was not observed. CONCLUSIONS: In eyes with macular hole and drusen, the possibility of choroidal neovascularization developing after macular hole surgery should be considered.

Key Words: Choroidal neovascularization;Drusen;Macular hole surgery