Sequential Macular Hole Formation as a Rare Complication of Rickettsia Post Fever Retinitis

Purpose: We describe a rare complication of macular hole formation in rickettsia post-fever retinitis.

Patients and methods: Retrospective observational case report of a patient who presented with post-fever retinitis and cystoid macular edema that later progressed to a macular hole. Clinical record and multimodal imaging including fundus photography, fundus fluorescein angiography (FFA), and spectral domain optical coherence tomography (SD-OCT) were analyzed.

Results: Initial examination revealed multifocal retinitis lesions with vitritis associated with disc and macular edema, consistent with a diagnosis of post-fever retinitis. During the course of her treatment, she developed a full-thickness macular hole, complicating the management and requiring surgical intervention.

Conclusion: Continued monitoring and management are essential to address potential sequelae and ensure minimised long-term ocular morbidity in affected patients. Further reports are needed to precise and characterize this clinical relationship and its management.