D

Log Reflection

Chapter 2

Case 3-12. Stage 3 Macular Hole with a Lamellar Hole in the Fellow Eye

Clinical Summary

A 69-year-old woman had a hill-thickness macular w hole in her right eye associated with a visual acuity of 20/ 100 (A). Fluorescein angiography (B) showed mild leakage surrounding the fovea consistent with a cuff of sub-retinal or intra retina I fluid accumulation.

Optical Coherence Tomography

The vertical OCT tomogram (C) exhibited a classic Stage 3 hole with surrounding cystic changes and macular edema- Enhanced backscatter was noted from retinal pigment epithelium beneath the hole consistent with either a lack of probe beam attenuation through retinal tissue, or pigmentary changes.

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