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October 1976

Lamellar Macular Hole

Arch Ophthalmol. 1976;94(10):1804. doi:10.1001/archopht.1976.03910040578021

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To the Editor.  —The article by Gass (Arch Ophthalmol 94:793, 1976) pointed out both the clinical and fluorescein angiographic appearance of an inner lamellar macular hole. Dr Gass has illustrated how we can glean more information from careful observation if we pay particular attention to the pathophysiology behind various disease states.In the same issue, Drs Shatz and Patz, in their article titled "Cystoid Maculopathy in Diabetics" (p 761), reported their findings in three patients with "panendothelial leakage" from diabetic retinopathy. They noted no changes in the visual acuity with continued foveal leakage, despite parafoveal argon laser photocoagulation.Closer scrutiny of the fluorescein angiograms in the article by Drs Shatz and Patz seems to reveal the specific findings pointed out by Dr. Gass in his article on the lamellar macular hole. According to Dr Gass, after rupture of the inner cyst walls and lamellar hole formation, fluorescein continues to concentrate

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