Abstract

To describe an interventional case report of macular hole associated with sarcoidosis. A 63-year-old African American woman presented with unilateral decreased vision in the right eye. Clinical examination, ultra wide-field fluorescein angiography, and optical coherence tomography revealed a macular hole in the setting of intraocular inflammation. Pars plana vitrectomy was performed to close the macular hole, and a vitreous biopsy was performed. The patient had closure of the macular hole and tissue confirmation of ocular sarcoidosis by vitreous biopsy. Macular hole associated with sarcoidosis is exceedingly rare. Surgical intervention may be necessary to close the macular hole and improve vision.

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