Case 3-23- Atypical Full-Thickness Macular Hole

Clinical Summary

A 46-year-old woman had suffered a posterior vitreous separation in her right eye five months earlier. Her vision had remained biurrv after her flashes and floaters had resolved. On examination, her visual acuity was 20/ 70 in this eye, A small full-thickness macular hole was observed on contact lens examination (A),

Optical Coherence Tomography

A horizontal OCT section (B) confirmed a small full-thickness hole with a characteristic anvil shape and mild surrounding macular edema. The minimum width of the hole measured only 140 (im on the image. The finding was of interest since the posterior vitreous detachment definitely preceded the development of the hole.

Temporal Nasal

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