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KMID : 0360220160570010155
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Journal of the Korean Ophthalmological Society
2016 Volume.57 No. 1 p.155 ~ p.160
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A Case of Spontaneous Closure of Macular Hole in Infectious Posterior Uveitis
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김민우:Kim Min-Woo
김동윤:Kim Dong-Yoon/김윤전:Kim Yoon-Jeon/조수근:Joe Soo-Geun/이주용:Lee Joo-Yong/김중곤:Kim June-Gone
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Abstract
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Purpose: To report a case of macular hole secondary to presumptive infectious posterior uveitis involving the fovea that spontaneously resolved after medical treatment.
Case summary: A 33-year-old male visited our clinic for decreased visual acuity in his left eye. He was treated with immunosuppressive therapy including steroid after bone marrow transplantation. Best corrected visual acuity (BCVA) was 0.05 in the left eye. Slit lamp examination showed mild anterior vitritis, and fundus examination showed a macular hole with surrounding whitish infiltration at the fovea. Spectral domain optical coherence tomography (SD-OCT) revealed a full thickness macular hole with surrounding hyper-reflective masses with an infiltration-like appearance involving all retinal layers. Serum anti-toxocara IgG was positive (ELISA), and eosinophil count and immunoglobulin E was elevated. Under diagnosis of presumptive ocular toxocariasis, the patient was treated with albendazole. After medical treatment for toxocariasis, the whitish foveal infiltration became smaller and more discrete. SD-OCT revealed spontaneous closure of the macular hole, and BCVA was improved to 0.4 after a 4-month follow-up.
Conclusions: We report a macular hole complicated by presumptive infectious posterior uveitis that experienced spontaneous closure after medical treatment for underlying infection.
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KEYWORD
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Macular hole, Posterior uveitis, Spontaneous closure, Toxocariasis
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