March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
Macular Microhole. Presentation of 6 Cases
Author Affiliations & Notes
  • Diego A. Bar
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Veronica Giordano
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Jorge Bar
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Ezequiel Fernandez Sasso
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Juan Pablo Francos
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Juan Cortalezzi
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Carmen Demetrio
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Matias Iglicki
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Marcelo Zas
    Ophthalmology, Hospital de Clinicas, Capital Federal, Argentina
  • Footnotes
    Commercial Relationships  Diego A. Bar, None; Veronica Giordano, None; Jorge Bar, None; Ezequiel Fernandez Sasso, None; Juan Pablo Francos, None; Juan Cortalezzi, None; Carmen Demetrio, None; Matias Iglicki, None; Marcelo Zas, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 5213. doi:
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    • Get Citation

      Diego A. Bar, Veronica Giordano, Jorge Bar, Ezequiel Fernandez Sasso, Juan Pablo Francos, Juan Cortalezzi, Carmen Demetrio, Matias Iglicki, Marcelo Zas; Macular Microhole. Presentation of 6 Cases. Invest. Ophthalmol. Vis. Sci. 2012;53(14):5213.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

To clinically describe the appearance of Macular Microhole in OCT

 
Methods:
 

Fifteen eyes of 9 patients that presented a focal lamellar or cystoid defect in the posterior hyperreflective layer in the foveal zone where analyzed by HR OCT. None of them had a history of direct light exposure either to solar light, eclipse or history of trauma

 
Results:
 

Average age was 52,7 yo (21 - 97) and mean refractive error was -1.1 D. (-5 / +2). Most of them presented lesion in both eyes (6/9). Symptoms where central scotoma, metamorphopsia and low VA. Some cases where asymptomatic. Nine eyes (64%) presented VA >20/40. Most patients did not show any changes neither in the OCT or VA (8-32 months).In the HD OCT these patients presented either a lamellar or cistoid defect well circuscribed in the outeretina, correspondant to the IL/OL photoreceptor layer and/or the RPE

 
Conclusions:
 

Macular Microhole is a nonprogressive, benign, usually bilateral entity. It is usually asymptomatic, or it presents minimum visual symptoms. Its aspect in the HR OCT is characteristic, but sometimes it can not be distinguished from maculopathy caused by solar exposure, eclipse or trauma. Diagnosis should exclude exposure to this entities.  

 
Keywords: macular holes • macula/fovea • retina 
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