# A full thickness macular hole following severe preeclampsia: a case report

## TL;DR

A young woman developed a full thickness macular hole after severe preeclampsia, which was successfully treated with surgery.

## Contribution

This case report highlights a rare ocular complication of preeclampsia and its successful surgical management.

## Key findings

- Severe preeclampsia can lead to a full thickness macular hole.
- Surgical intervention improved both anatomical and visual outcomes in this patient.

## Abstract

We report a case of a young woman presenting with decreased vision in the right
eye. One month earlier, she developed severe preeclampsia at 22 weeks of
gestation and the pregnancy was terminated. Fundus examination revealed cotton
wool spots and hard exudates in the macula bilaterally, with a yellow spot at
the center of the fovea in the right eye. Optic coherence tomography showed a
full thickness macular hole with elevated cystoid edges in the right eye. The
patient was diagnosed with macular hole secondary to preeclampsia and followed
up for spontaneous closure. One month after the first visit, surgical
intervention was suggested due to declining vision. Three months later, the
patient agreed to surgery. She underwent pars plana vitrectomy with a temporal
inverted internal limiting membrane flap and C3F8 endotamponade, which provided
anatomic and visual improvement.