PMID- 23697861
OWN - NLM
STAT- MEDLINE
DCOM- 20131112
LR  - 20130523
IS  - 1744-5078 (Electronic)
IS  - 0927-3948 (Linking)
VI  - 21
IP  - 2
DP  - 2013 Apr
TI  - Macular hole formation secondary to bacterial septic embolism demonstrated by 
      serial spectral-domain optical coherence tomography imaging.
PG  - 163-5
LID - 10.3109/09273948.2012.752014 [doi]
AB  - PURPOSE: To describe a case of macular hole (MH) formation secondary to bacterial 
      septic embolism and demonstrate the changing thereof using serial spectral-domain 
      optical coherence tomography (SD-OCT) images. METHODS: A single case report. 
      RESULTS: A 69-year-old woman who had been diagnosed with Klebsiella pneumonia 
      septicemia was referred for decreased vision in her left eye. Impending MH was 
      detected by SD-OCT and retinitis with multiple retinal hemorrhages by funduscopy. 
      One week after the initial visit, a full-thickness MH had formed, and 13 weeks 
      after the initial visit, we were able to close the MH following vitrectomy and 
      gas tamponade. The MH was formed by retinal thinning due to outer retinal 
      disruption without vitreomacular traction. CONCLUSION: Metastatic retinal septic 
      embolism and consequent outer retinal disruption can cause MH. Ophthalmologists 
      must be aware of the possibility of MH in cases of retinal metastatic bacterial 
      septic embolism, especially if the lesion infiltrates the fovea.
FAU - Yoon, Chang Ho
AU  - Yoon CH
AD  - Department of Ophthalmology Seoul National University College of Medicine, Seoul 
      National University Bundang Hospital, Seongnam, Korea.
FAU - Park, Kyu Hyung
AU  - Park KH
FAU - Woo, Se Joon
AU  - Woo SJ
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Ocul Immunol Inflamm
JT  - Ocular immunology and inflammation
JID - 9312169
SB  - IM
MH  - Aged
MH  - Diagnosis, Differential
MH  - Embolism/*complications/microbiology
MH  - Female
MH  - Humans
MH  - Klebsiella Infections/*complications/microbiology
MH  - Klebsiella pneumoniae/*isolation & purification
MH  - Retinal Perforations/diagnosis/*etiology/surgery
MH  - Sepsis/*complications/microbiology
MH  - Tomography, Optical Coherence/*methods
MH  - Vitrectomy
EDAT- 2013/05/24 06:00
MHDA- 2013/11/13 06:00
CRDT- 2013/05/24 06:00
PHST- 2013/05/24 06:00 [entrez]
PHST- 2013/05/24 06:00 [pubmed]
PHST- 2013/11/13 06:00 [medline]
AID - 10.3109/09273948.2012.752014 [doi]
PST - ppublish
SO  - Ocul Immunol Inflamm. 2013 Apr;21(2):163-5. doi: 10.3109/09273948.2012.752014.