title: Xanthic scotoma and yellow foveolar shadow caused by a pseudo-operculum after vitreofoveal separation.
abstract: The biomicroscopic detection of a small opacity (pseudo-operculum) suspended in front of the normal foveal retina is a sign of vitreofoveal separation. This report concerns five patients in whom slit-lamp illumination of the pseudo-operculum produced a yellow spot (shadow) on the adjacent pigment epithelium. This occurred in two patients who presented because of a small yellow central scotoma. In one patient, the yellow spot and scotoma disappeared after complete posterior vitreous separation. One patient presented because the referring physician misinterpreted the yellow spot as a Stage 1 impending macular hole.
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101.
authors.forename: J D
authors.initials: JD
authors.lastname: Gass
authors.forename: M
authors.initials: M
authors.lastname: Van Newkirk
mesh_terms: D000368:Aged; D005260:Female; D005584:Fovea Centralis / Q000473:pathology*; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications / Q000473:pathology*; D012167:Retinal Perforations / Q000473:pathology*; D012607:Scotoma / Q000209:etiology / Q000473:pathology*