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Macular Hole and Vitreomacular Traction

Case 3-18 continued

Clinical Summary

The patient's left eye (C) was notable for a large disciform scar in the macula which appeared to form an annu-lus around the fovea.

Optical Coherence Tomography

A full-thickness macular hole was observed in a horizontal OCT image (D) acquired through the fovea. The contrast in optical reflectivity between the retinal photoreceptors and the retinal pigment epithelium was attenuated. Increased reflectivity from the choroid was observed consistent with both a fibrovascular scar and enhanced penetration of the probe beam through an atrophic pigment epithelium. A faint reflection from the posterior hyaloid membrane spanned the top of the hole.

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