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Macular Hole arid Vitreornacular Traction

Case 3-12 continued

Clinical Summary

The patient had undergone cataract extraction in her fellow eve two years earlier and since then had noted itch-

ing and tearing in this eye with blurred vision. Dilated fundus examination (D) showed either a cvst or a hole in j the central macula. Fluorescein angiography (E) did not show any leakage in the macular region. The visual acuity in this eye was 20/200.

Optical Coherence Tomography

An OCT image (F) obtained through fixation delineated a partial thickness or lamellar hole with a contour suggesting the rupture of a macular cvst. Optical back-scatter was clearly present from the outer retinal layers at the base of the hole. The retina appeared to be dividing at the outer plexiform layer at the inferior margin of the hole.

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