Retina

Case 19

Patient Presentation: Your attending physician shows you the following OCT macula. He asks you the following questions:

 

 

Question: What is the diagnosis?

Retina 19-1.png

Question: How do you differentiate a lamellar hole from a pseudohole and macular hole?

Retina 19-2.png

Question: What is the typical treatment for lamellar holes?

Learning Objectives:

1. To differentiate lamellar hole from a pseudohole and a full thickness macular hole

2. To identify the OCT features of a lamellar hole, which have an anvil-like, partial thickness foveal defect with preservation of the outer retinal layers.