PURPOSE: To report a previously undescribed cause of bilateral macular
hole formation. METHOD: Case report. RESULTS: Septic emboli were note
d at the center of the macula in both eyes of a 32-year-old man with a
cute bacterial endocarditis. Bilateral full-thickness macular holes la
ter developed at the site of these retinal lesions. CONCLUSION: This c
ase represents the first report of fundus lesions in septicemia result
ing in full thickness macular hole formation.