CIBA - Digital Grand Rounds - Answer/Discussion

CIBA Vision Ophthalmics - Digital Grand Rounds

Digital Grand Rounds Program - Answer/Discussion

Yep... a full thickness macular hole. This patient most likely did not have an epiretinal membrane, as her vision had been good up until the previous week. A vitreous detachment could have contributed, but no significant PVD was found. There's really not much to be done in these cases, although referral to a retinal specialist would be worthwhile, since the hole is of recent onset, and there MIGHT be the possibility of some treatment, although lamellar holes are more amenable.
These patients should be carefully alerted to the symptoms of retinal detachment, although the chance very small in cases where myopia is not severe, and flashes and floaters are not significant. Some specialists recommend monitoring the other eye with an amsler grid to watch for contralateral macular hole development, which can occur in a small number of patients.
See you next time...

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