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April 1970

Foveolar Splinter and Macular Wisps

Author Affiliations

From the Daily Eye Clinic, Houston.

Arch Ophthalmol. 1970;83(4):406-411. doi:10.1001/archopht.1970.00990030406004

IN FOCAL illumination by a very narrow slit-lamp beam through the Goldmann contact lens, I have seen a splinter of retinal tissue protruding from the foveola, frequently in persons over 60 years of age and occasionally in persons under the age of 40 (Fig 1 and 2). By direct ophthalmoscopy in parallax, the splinter gives only an impression of a protrusion. It projects forward and axially from the edge of the umbo—the center of the foveolar pit—and varies in length, being no longer than the umbo's width. In some cases it is a nub on the side of the pit, rather than a splinter (Fig 3). In two eyes the splinter was attached to the side of a shallow, narrow, lamellar defect at the foveola. It has been associated in every case with detachment of the posterior hyaloid membrane of the vitreous from the macula. No retinovitreal adhesion or adjacent

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