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July 1994

Macular Hole Following Severe Hypertensive Retinopathy

Author Affiliations

Miami, Fla

Arch Ophthalmol. 1994;112(7):878-879. doi:10.1001/archopht.1994.01090190022012

Macular holes occur most commonly in predominantly healthy women in their seventh decade of life.1 We followed up a young patient for 6 years who developed a full-thickness macular hole following an episode of hypertensive retinopathy. We propose a multifactorial cause of this macular hole.

Report of a Case.  A 21-year-old black Haitian woman presented with decreased visual acuity and floaters of 4 months' duration. She was receiving hemodialysis support three times per week for chronic renal failure with biopsy-proven membranoproliferative glomerulonephritis and seronegative systemic lupus erythematosus. Her visual acuity was 20/400 OU. The slit-lamp examination findings were normal. She had a minor vitreous hemorrhage in her left eye. Her fundus showed bilateral disc edema with diffuse retinal edema and hard exudates (Figure 1). There was no retinal neovascularization or serous retinal detachment. Cystoid macular edema was not noted and fluorescein angiography was not performed. The patient's blood pressure

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