Bilateral Full Thickness Macular Holes in Association With Serpiginous Choroiditis

Abstract

Purpose: To report serpiginous choroiditis associated with full thickness macular holes (FTMH).

Design: Interventional case report.

Methods: A 58-year-old female with bilateral serpiginous choroiditis developed right-sided blurred vision and metamorphopsia. Ocular assessment, FFA, OCT, and right macular hole surgery were performed.

Results: Preoperative visual acuity was 6/36 right, 6/9 left. Fundus assessment found bilateral geographic chorioretinal scarring, epiretinal membranes, right FTMH, and mild vitritis. OCT revealed bilateral FTMHs. Pars plana vitrectomy, membrane peel, and gas tamponade resulted in right macular hole closure, visual acuity improvement (6/18) and resolution of metamorphopsia.

Conclusions: Macular hole may be another posterior segment complication of serpiginous choroiditis.

KEYWORDS::

• Serpiginous choroiditis
• Macular hole
• FTMH
• Vitritis
• Pars plana vitrectomy

ACKNOWLEDGMENTS

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.