Idiopathic Macular Hole: A Teaching Case Report

Andria M. Pihos, OD, FAAO 
Wendy Stone, OD, FAAO


A macular hole (MH) is an anatomical opening or dehiscence in the fovea. Idiopathic MHs are considered to be a fairly common retinal condition and are most frequently found in healthy women with a normal refractive error in their seventh or eighth decade of life. This teaching case report reviews the important role of the clinician in accurate diagnosis, timely referral for treatment, and continued monitoring of the patient’s post-surgical ocular health. It also addresses diagnostic testing, such as optical coherence tomography (OCT), and how it can be implemented for the diagnosis and long-term management of MHs. 

Key Words: idiopathic macular hole, optical coherence tomography, pars plana vitrectomy, posterior vitreous detachment, perifoveal posterior vitreous detachment

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