Microholes of the macula.
OBJECTIVE
To describe the clinical syndrome of microholes of the macula.


METHODS
Fourteen patients with acute symptoms caused by full-thickness microholes of the macula.


RESULTS
Patients with macular microholes had the acute onset of central scotoma with mild to moderate visual acuity loss. Examination revealed a detachment of the vitreous over the fovea, often with an operculum or a total posterior vitreous detachment, and a sharply demarcated, 50- to 133-micrometer round hole in the center of the macula. On follow-up, all patients had a stable or improved scotoma and visual acuity.


CONCLUSIONS
Macular microholes appear to be caused by an acute detachment of the vitreous from the fovea and can be distinguished from Gass stage 2 idiopathic macular holes.
Reddy
C V
CV
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, USA.
Folk
J C
JC
Feist
R M
RM
D000208:Acute Disease; D000328:Adult; D000368:Aged; D005128:Eye Diseases / Q000150:complications / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012167:Retinal Perforations / Q000209:etiology / Q000473:pathology*; D012607:Scotoma / Q000209:etiology; D014463:Ultrasonography; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity; D014822:Vitreous Body / Q000473:pathology