case_images: PMC10601876_01
case_images: A slit photograph of the right eye (a) reveals unremarkable findings, whereas a slit photograph of the left eye (b) reveals corneal scarring and superior vascularization as a result of a previously repaired penetrating injury.
case_images: cop-2023-0014-0001-533668_F01.jpg
case_images: PMC10601876_01_cop-2023-0014-0001-533668_F01.jpg
case_images: F1
case_images: The left eye had multiple corneal scarring resulting from prior injury, as shown in Figure 1 and funduscopic examination of the left eye was impossible due to corneal scars.
case_images: a Fundus photograph at 6 months of follow-up. b Fundus photograph after 2 years of follow-up with corresponding fixation point in visuoscopy.
case_images: cop-2023-0014-0001-533668_F02.jpg
case_images: PMC10601876_01_cop-2023-0014-0001-533668_F02.jpg
case_images: F2
case_images: In the funduscopic examination, there was evidence of a TMH and perifoveal and peripapillary retinal scars, as shown in Figure 2. Since the patient's BCVA was not compatible with MH, we suspected eccentric fixation which was confirmed with vvisuoscopy using direct ophthalmoscope, and the fixation point was inferior and temporal to the true fovea shown in Figure 2b.
case_images: a Horizontal optical coherence tomography (OCT) in various sections from superior to inferior fovea at the time of presentation (March 2021) reveals atrophic outer retina on the nasal side of the fovea and a TMH measuring 418 microns in the minimal basal diameter. b After 2 years of follow-up, corresponding macular OCT slices reveal a MH of the same size and decreasing para-foveal cystic changes.
case_images: cop-2023-0014-0001-533668_F03.jpg
case_images: PMC10601876_01_cop-2023-0014-0001-533668_F03.jpg
case_images: F3
case_images: The patient's BCVA improved to 8/10 at the final visit in March 2023, despite the size of the MH not changing substantially, as shown in Figure 3.