Figure 1: a) The clinical photograph of the right eye demonstrates the presence of a full-thickness macular hole and massive multilevel retinal hemorrhage secondary to a ruptured retinal arterial macroaneurysm in the superotemporal arcade area. b) The fluorescein angiography study confirms the presence of a retinal arterial macroaneurysm in the superior temporal arcade. c) and d) show optical coherence tomography scans with 3-D reconstruction confirming the macular hole 600 µm in diameter.