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April 1996

Microholes of the Macula

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

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.