Sclerochoroidal Calcification Presenting with Unilateral Full-Thickness Macular Hole: Presentation and Successful Surgical Closure.

Q3 Medicine
Alyssa C Huelsbeck, Colin P Froines, Kathleen R Schildroth
{"title":"Sclerochoroidal Calcification Presenting with Unilateral Full-Thickness Macular Hole: Presentation and Successful Surgical Closure.","authors":"Alyssa C Huelsbeck, Colin P Froines, Kathleen R Schildroth","doi":"10.1097/ICB.0000000000001784","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Describe a case of macular hole (MH) presenting in a patient with sclerochoroidal calcification (SCC). Only one previous case of a MH in the setting of SCC has previously been reported; however, that case was observed without surgery. We present a case of a MH in SCC in which successful surgical closure and visual acuity improvement was achieved.</p><p><strong>Methods: </strong>Case report.</p><p><strong>Results: </strong>A 70-year-old male 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 (OCT) showed a full thickness MH in the left eye, and surgical repair with pars plana vitrectomy, internal limiting membrane (ILM) peel, and gas was performed. Postoperatively, the visual acuity in the left eye was 20/50; the exam and OCT showed anatomic success with closure of the MH and stable SCC lesions.</p><p><strong>Conclusions: </strong>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, ILM peel, and gas.</p>","PeriodicalId":53580,"journal":{"name":"Retinal Cases and Brief Reports","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Retinal Cases and Brief Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/ICB.0000000000001784","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

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

Methods: Case report.

Results: A 70-year-old male 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 (OCT) showed a full thickness MH in the left eye, and surgical repair with pars plana vitrectomy, internal limiting membrane (ILM) peel, and gas was performed. Postoperatively, the visual acuity in the left eye was 20/50; the exam and OCT showed anatomic success with closure of the MH and stable SCC lesions.

Conclusions: 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, ILM peel, and gas.

巩膜钙化表现为单侧全层黄斑孔:表现和成功的手术闭合。
目的:描述一例黄斑裂孔(MH)出现在病人的硬脉络膜钙化(SCC)。以前只报告过一例急性淋巴细胞癌背景下的MH病例;然而,该病例未进行手术观察。我们提出一个病例的MH在鳞状细胞癌,其中成功的手术关闭和视力的改善实现。方法:病例报告。结果:男性,70岁,右眼视力20/25,左眼视力20/300。眼底镜检查显示双侧SCC。左眼b超检查符合SCC。光学相干断层扫描(OCT)显示左眼全层MH,手术修复包括玻璃体切割、内限制膜(ILM)剥离和气体治疗。术后左眼视力20/50;检查和OCT显示解剖成功,MH闭合,SCC病变稳定。结论:SCC可能与全层MH相关,可能继发于升高病灶的切向牵引。尽管存在鳞状细胞癌病变,但通过典型的玻璃体切除术、ILM剥离和充气手术可以成功关闭MH。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信