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May 1993

Atypical Presentations of Macular Holes

Author Affiliations

From the Bascom Palmer Eye Institute, University of Miami (Fla) School of Medicine.

Arch Ophthalmol. 1993;111(5):626-631. doi:10.1001/archopht.1993.01090050060029

• Objective.  —To describe nine cases of macular holes with atypical presentations and propose possible mechanistic explanations.

Setting.  —The steps leading to typical idiopathic macular hole formation have recently been defined.

Patients.  —Patients included seven with previous retinal detachment and subsequent macular hole formation and two with macular hole formation after vitrectomy for epiretinal membrane removal.

Conclusions.  —The occurrence of these cases may seem to contradict reported pathogenesis schemes, but they are explainable within reported grading schemes.

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