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1. History
2. Exam
3. Photos
4. Diagnosis
5. Teaching Points
6. Comments

Case 9 Teaching Points

• Etiology secondary to abnormal vitreous or epiretinal membrane traction.
• Three times more common in women
• Typically occurs in the sixth to eighth decade
• Macular holes also caused by high myopia and blunt ocular trauma
• Treatment of full-thickness macular hole involves vitrectomy, with or without membrane peel, followed by gas bubble tamponade which causes centripetal movement of displaced photoreceptors into the macular hole

References

Kanski et al. Diseases of the Ocular Fundus. Elsevier, 2005

Kunimoto et al. The Wills Eye Manual, 4th ed. Lippincott, 2004