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November 1991

Macular Hole Formation Following Laser Photocoagulation of Choroidal Neovascular Membranes in a Patient With Presumed Ocular Histoplasmosis

Author Affiliations

Baltimore, Md; Charlottesville, Va

Arch Ophthalmol. 1991;109(11):1500-1501. doi:10.1001/archopht.1991.01080110034023

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Macular holes have been reported to occur after accidental laser photocoagulation1-3 and, in one case, after laser treatment for central serous retinopathy.4 We describe the first reported case, to our knowledge, of a macular hole occurring several years after laser photocoagulation for two choroidal neovascular membranes in a patient with presumed ocular histoplasmosis.

Report of a Case.  —A 40-year-old white man with ocular histoplasmosis presented with blurred vision in his left eye of 3 weeks' duration. He had previously undergone argon laser photocoagulation for an extrafoveal choroidal neovascular membrane of the right eye in 1979 and for two juxtafoveal choroidal neovascular membranes of the left eye in 1979 and 1985. By October 1988, a subfoveal area of retinal pigment epithelium atrophy was noted (Fig 1). Fluorescein angiography showed no evidence of persistent or recurrent neovascularization.The patient returned emergently in September 1990 with acute central Amsler grid haziness

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