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SCLEROCHOROIDAL CALCIFICATION PRESENTING WITH UNILATERAL FULL-THICKNESS MACULAR HOLE: PRESENTATION AND SUCCESSFUL

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Sclerochoroidal calcification (SCC) can be associated with macular holes (MH). Successful surgical repair of a macular hole in a patient with SCC improved visual acuity, demonstrating effective treatment outcomes.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Medical Imaging

Background:

  • Sclerochoroidal calcification (SCC) is a rare condition.
  • Macular holes (MH) can cause significant vision loss.
  • The association between SCC and MH is not well-documented.

Purpose of the Study:

  • To describe a case of a macular hole (MH) in a patient with sclerochoroidal calcification (SCC).
  • To report the surgical outcome of MH repair in the presence of SCC.

Main Methods:

  • A case report detailing a 70-year-old male with bilateral SCC.
  • Diagnostic tools included fundoscopy, ultrasonography, and optical coherence tomography (OCT).
  • Surgical intervention involved pars plana vitrectomy, internal limiting membrane (ILM) peel, and gas tamponade for MH closure.

Main Results:

  • The patient presented with reduced visual acuity in the left eye (20/300) due to a full-thickness MH.
  • Successful surgical repair resulted in improved visual acuity to 20/50.
  • Postoperative OCT confirmed anatomical success with MH closure and stable SCC lesions.

Conclusions:

  • Sclerochoroidal calcification may be associated with full-thickness macular holes, potentially due to traction from the calcified lesion.
  • Surgical closure of macular holes is achievable in patients with SCC using standard techniques.
  • This case highlights successful visual acuity improvement despite the presence of SCC.