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Case 3-26, Vitreoretinal Traction and Healed Macular Hole

Clinical Summary

A 83-year-old woman had a history of a macular hole and a total retinal detachment in her left eye that was treated with pars plana vitrectomy, scleral buckling, drainage of subretinal fluid, and fluid-gas exchange. On examination, the visual acuity in this eye was counting fingers. The retina appeared completely flat, the hole was closed, and there were some mild pigmentary changes in the macula (A).

Optical Coherence Tomography

An OCT image (13) through the central macula showed that the contour of the foveal pit was steepened nasally. Increased backscattering was observed from the nominally transparent photoreceptors in the fovea.

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