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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2017  |  Volume : 24  |  Issue : 3  |  Page : 159-161

Macular hole secondary to polypoidal choroidal vasculopathy


Department of Vitreo Retinal Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry, India

Correspondence Address:
Prabu Baskaran
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/meajo.MEAJO_30_16

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We report a case of polypoidal choroidal vasculopathy (PCV) presented with massive submacular hemorrhage (SMH) and macular hole (MH). Spectral domain optical coherence tomography confirmed the presence of MH along with SMH and also revealed an extrafoveal-notched pigment epithelium detachment (PED) suggestive of PCV. Urgent pneumatic displacement with perfluoropropane (C3F8) was done. Indocyanine green angiography done 3 weeks later showed polyps in the superonasal macula corresponding to PED. Extrafoveal polyps were treated with laser photocoagulation. Inverted flap MH surgery was planned but the patient was lost to follow-up.


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