Bilateral simultaneous stage 1 macular hole.
The authors describe two cases of bilateral simultaneous stage 1 macular hole diagnosed via optical coherence tomography (OCT). Vitreomacular traction, foveal pseudo cysts, and outer retinal changes were present initially. Resolution of the foveal pseudo cysts and outer retinal changes occurred in cases where a complete posterior vitreous detachment was noted. The initial step in the pathogenesis of macular holes is "traction" from the detaching posterior hyaloid. However, there are missing links in the exact inciting events and in the progression of the disease. The development of bilateral stage 1 macular holes simultaneously is unique and interesting because an unknown common inciting factor might be at play in these cases.
New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
Ahmad A
AA
Alwassia
Mehreen
M
Adhi
Jay S
JS
Duker
D005584:Fovea Centralis / Q000473:pathology*; D006801:Humans; D012167:Retinal Perforations / Q000175:diagnosis*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity