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

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.