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RETINA

MACULAR HOLE

 
Macular hole is a common cause of visual morbidity, usually affects older females
 
Symptoms
 
Loss of central vision
 
Distortion of the letters
 
 
Fundus examination shows
 
Yellow foveolar spot or perifoveal ring with loss of the foveal depression.
 
Round punched-out area surrounded by a halo of retinal detachment and multiple yellow deposits at the level of the RPE within the hole.
 
Fundus Fluorescein Angiogram
 
Corresponding area of hyperfluorescence resulting from unmasking of background choroidal fluorescence caused by a RPE (Retinal Pigment Epithellium) defect.
 
Treatment
 
Early stage of macular hole does not require any treatment
 
Advanced stage needs Vitrectomy with Intra ocular gas injection.

 

Diabetic Retinopathy Cystoid Macular Oedema
Hypertensive Retinopathy Retinal Detachment
Central Serous Retinopathy ARMD
Retinal Vein Occlusion Macular Hole
Retinal Artery Occlusion Retinoblastoma

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