Full-Thickness Macular Hole

Published on 10/05/2015 by admin

Filed under Opthalmology

Last modified 10/05/2015

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10.2

Full-Thickness Macular Hole

Clinical Features:

Classic symptoms are acute unilateral decreased vision and occasional metamorphopsia. An impending macular hole may be seen as a loss of the normal fovelar depression with a yellow spot or ring in the center of the macula. A full-thickness macular hole (FTMH) is seen as a well demarcated, round red spot in the center of the macula surrounded by a grey halo that represents a cuff of subretinal fluid around the hole (Fig. 10.2.1) An operculum may be seen above the hole. Yellowish deposits may be seen within the hole.

Macular holes were classified according to their clinical findings. However, with OCT data available, this classification system is now in flux. This is described in some detail below.

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