Chapter 3

Case 3-18. Full-thickness Macular Hole with an Atrophic Scar in the Fellow Eye

Clinical Summary

This patient was a 76-year-old man with age-related macular degeneration and a history of laser photocoagulation treatment in both eyes. Examination of the right eye (A) showed a full-thickness macular hole which was associated with a visual acuity of 20/200.

Optical Coherence Tomography

OCT examination (B) confirmed the presence of a Stage 3 macular hole with minimal surrounding subretinal fluid accumulation. The retinal thickness measured at the margin of the hole was 290 |im and the hole diameter was approximately 530 [im at its minimum in the image. Small, minimally reflective cystic spaces were identified in the macula surrounding the hole.

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