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Macular hole associated with sarcoidosis
Le Yu1, Irena Tsui, Jean-Pierre Hubschman
1Retina Division, Department of Ophthalmology, Jules Stein Eye Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Retinal Cases & Brief Reports
|November 13, 2014
Summary
This case report details a rare instance of a macular hole linked to ocular sarcoidosis. Surgical intervention successfully closed the macular hole, improving vision in the affected eye.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Background:
- Ocular sarcoidosis is a multisystem granulomatous disease that can affect various parts of the eye.
- Macular holes, a condition causing vision loss, are not typically associated with ocular sarcoidosis.
Purpose of the Study:
- To report an interventional case of a macular hole secondary to ocular sarcoidosis.
- To highlight the diagnostic and therapeutic approach for this rare condition.
Main Methods:
- A 63-year-old woman presented with decreased vision.
- Diagnostic tools included clinical examination, ultra wide-field fluorescein angiography, and optical coherence tomography.
- Treatment involved pars plana vitrectomy and vitreous biopsy.
Main Results:
- The macular hole was successfully closed following surgical intervention.
- Vitreous biopsy confirmed the presence of ocular sarcoidosis, establishing a tissue diagnosis.
- The patient experienced improved vision post-surgery.
Conclusions:
- Macular holes associated with sarcoidosis are exceptionally rare.
- Surgical intervention, such as pars plana vitrectomy, can be effective in managing macular holes in the context of ocular sarcoidosis.
- Early diagnosis and treatment are crucial for visual recovery.
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