—To describe nine cases of macular holes with atypical presentations and propose possible mechanistic explanations.
—The steps leading to typical idiopathic macular hole formation have recently been defined.
—Patients included seven with previous retinal detachment and subsequent macular hole formation and two with macular hole formation after vitrectomy for epiretinal membrane removal.
—The occurrence of these cases may seem to contradict reported pathogenesis schemes, but they are explainable within reported grading schemes.
Smiddy WE. Atypical Presentations of Macular Holes. Arch Ophthalmol. 1993;111(5):626–631. doi:10.1001/archopht.1993.01090050060029
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