Case 3-11. Stage 3 Macular Hole with a Macular Pseudohole in the Fellow Eye
An 82-year-old woman had an epiretinal macular membrane in both eyes. In her right eye (A), the membrane was associated with a full-thickness macular hole and a visual acuity of 20/100.
OCT (B) demonstrated a Stage 3 hole with moderate surrounding retinal edema. The epiretinal membrane was visible as a thin reflective band just anterior to the inner limiting membrane
Case 3-11 continued
In the left eye (C), the epiretinal membrane was associated with a macular pseudohole. The visual acuity in this eye was 20/30.
A horizontal OCT section (D) revealed a steepened foveal pit contour simulating a macular hole. The presence of retinal tissue in the outer foveal layers, however, confirmed the diagnosis of a macular pseudohole. : he epiretinal membrane was tightly adherent to the inner retinal surface and only visible where there was a difference in optical reflectivity between the membrane and neurosensory retina (arrow).
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