PMC4357680_01
a Color fundus photographs of the patient's left eye showing the MMH as a 'red spot' (white arrow). b An SD-OCT vertical B-scan demonstrating a cylindrical-shaped MMH (arrow and arrowhead) with an outer retinal defect adjacent to the FCE and vitreous attachment around the foveal center. The avulsed surface of the retina at the top of the MMH indicates a possible vitreous tractional force. c An SD-OCT horizontal B-scan revealing two choroidal excavations (arrowheads) adjacent to the fovea. d Color fundus photographs of the patient's right eye showing the macular hole before vitrectomy. e An OCT horizontal B-scan of the patient's right eye demonstrating the full-thickness macular hole.
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F1
She had a history of a full-thickness macular hole in her right eye, which had been successfully treated by pars plana vitrectomy 4 years previously (fig. 1d, e). The left eye fundus showed a well-demarcated 'red spot' lesion in the center of the fovea (fig. 1a). Examination by SD-OCT (SPECTRALIS  HRA-OCT; Heidelberg Engineering, Heidelberg, Germany) revealed a bowl-shaped choroidal excavation which conformed to the full-thickness retina adjacent to the fovea of the left eye (fig. 1b, c). MMH (fig. 1b). Moreover, SD-OCT findings demonstrated a resolution of the macular hole and a slightly deformed physiological foveal depression in the right eye.