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Chapter 4

Case 4-3. Epiretinal Membrane and Macular Pseudohole

Clinical Summary

A 63-year-old man had a retinal lesion resembling a macular hole in his left eye (A). His visual acuity in this

eye was 20/60.

Optical Coherence Tomography

A horizontal OCv tomogram (B) was acquired through the fovea. No full-thickness loss of retinal tissue was observed; rather the change in the contour of the fovea I pit suggested a macular pseudohole. An epiretinal membrane appeared to be tightly adherent to the retina and was only distinctly visible temporally in the tomogram where it was either separated from the retinal surface or more brightly backscattering than the underlying nerve fiber layer Diffuse macular thickening was noted.

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