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Case 3-7. Stage 3 Macular Hole with Vitreomacular Traction in the Fellow Eye

Clinical Summary

À 67-year-old woman was referred for worsening vision in her left eye. Her visual acuity in this eye was 20/ 80. Indirect ophthalmoscopy (A) revealed a small, full-thickness macular hole, surrounding cystic edema, and an attached vitreous. There was a positive Watzke's sign. Hyperfluorescence was observed in the fovea on fluorescein angiography (B) consistent with a window defect.

Optical Coherence Tomography

The OCT tomogram (C) displayed a Stage 3 full-thickness hole with a surrounding cuff of retinal edema, and a minimum inner diameter of approximately 300 pm. The retinal thickness was increased to 420 ]im at the edge of the hole. Decreased reflectivity was noted in the outer retinal layers surrounding the hole corresponding to cystic changes.

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