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Article
April 1996

Microholes of the Macula

Author Affiliations

From the Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City. Dr Feist is now with the Retina Consultants of Alabama, Birmingham.

Arch Ophthalmol. 1996;114(4):413-416. doi:10.1001/archopht.1996.01100130409007
Abstract

Objective:  To describe the clinical syndrome of microholes of the macula.

Patients:  Fourteen patients with acute symptoms caused by full-thickness microholes of the macula.

Results:  Patients with macular microholes had the acute onset of a central scotoma with mild to moderate visual acuity loss. Examination revealed a detachment of the vitreous over the fovea, often with an operculum or a total posterior vitreous detachment, and a sharply demarcated, 50- to 133-μm round hole in the center of the macula. On follow-up, all patients had a stable or improved scotoma and visual acuity.

Conclusions:  Macular microholes appear to be caused by an acute detachment of the vitreous from the fovea and can be distinguished from Gass stage 2 idiopathic macular holes.

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