An Untreated Macular Hole with Adjacent Choroidal Neovascularization

Background. Choroidal neovascularization (CNV) occurs in association with a variety of retinochoroidal disorders. However, it is not normally known to form after an untreated macular hole. Case Report. A 75‐year‐old black male presented with a 12‐month history of visual loss in his right eye. Funduscopy showed a full‐thickness macular hole in the right eye. No treatment was recommended because the decrease in vision appeared to be long standing. Fourteen months later, the patient was noted to have a subretinal hemorrhage superior to the macular hole. Fluorescein angiography revealed an adjacent choroidal neovascular membrane, and focal krypton laser photocoagulation was performed. Recurrent CNV was noted 6 months later, and additional photocoagulation was performed. Discussion. This case represents the 10th case reported of CNV with a full‐thickness macular hole and only the second of a patient with an untreated macular hole and no other risk factors for CNV.