| |
| Macular
hole is a common cause of visual morbidity, usually
affects older females |
| |
| Symptoms |
| |
| Loss of central vision |
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| 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. |