Macular hole closure following intraoperative choroidal hemorrhage

This interventional case report retrospectively reviews the outcome of a 56-year-old woman who suffered an intraoperative choroidal hemorrhage at commencement of macular hole surgery. Due to the early intraoperative choroidal hemorrhage, vitrectomy was not performed. One month postoperatively, the macular hole was noted to be closed and remained closed 2 years later, leaving the patient with a good visual outcome. The authors postulate that the temporal location of the choroidal hemorrhage may have exerted mechanical displacement of the retina toward the macular hole margins, resulting in closure. Macular hole closure directly following intraoperative choroidal hemorrhage is possible.