title: Atypical presentations of macular holes.
abstract: OBJECTIVE
  To describe nine cases of macular holes with atypical presentations and propose possible mechanistic explanations.
  
  
  METHODS
  The steps leading to typical idiopathic macular hole formation have recently been defined.
  
  
  METHODS
  Patients included seven with previous retinal detachment and subsequent macular hole formation and two with macular hole formation after vitrectomy for epiretinal membrane removal.
  
  
  CONCLUSIONS
  The occurrence of these cases may seem to contradict reported pathogenesis schemes, but they are explainable within reported grading schemes.
authors: Bascom Palmer Eye Institute, University of Miami, FL 33101.
authors: W E
authors: WE
authors: Smiddy
mesh_terms: D000368:Aged; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology / Q000473:pathology*; D012591:Scleral Buckling / Q000009:adverse effects; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects