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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2015

Open Access 01-12-2015 | Case report

Disappearance of soft drusen and subsequent development of choroidal neovascularization following macular hole surgery: a case report

Authors: Ji Hwan Lee, Taekjune Lee, Sung Chul Lee, Christopher Seungkyu Lee

Published in: BMC Ophthalmology | Issue 1/2015

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Abstract

Background

Drusen are important risk factor for neovascular age-related macular degeneration (AMD) and have a dynamic nature as they can enlarge, newly form, or disappear over time. There have been few reports on drusen regression or choroidal neovascularization (CNV) development after macular hole surgery. We report, to our knowledge, the first case of both drusen regression and subsequent CNV development within 7 months of successful macular hole surgery.

Case presentation

A 73-year-old woman presented with a stage 3 full-thickness macular hole and large, confluent soft macular drusen in the right eye and a neovascular age-related macular degeneration (AMD) in the fellow eye. Four months after the successful macular hole surgery, significant regression of drusen was seen, especially in the temporal area to the fovea. Three months later, the patient developed CNV and her best-corrected visual acuity decreased to 20/100, despite further regression of macular drusen.

Conclusions

Macular hole patients with macular soft drusen need to be carefully followed up after surgery for possible drusen regression and CNV development.
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Metadata
Title
Disappearance of soft drusen and subsequent development of choroidal neovascularization following macular hole surgery: a case report
Authors
Ji Hwan Lee
Taekjune Lee
Sung Chul Lee
Christopher Seungkyu Lee
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2015
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-015-0029-8

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