Case 19

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



Question: What is the diagnosis?

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

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.

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