Microholes of the macula
C. V. Reddy, J. C. Folk and R. M. Feist
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, USA.
OBJECTIVE: To describe the clinical syndrome of microholes of the macula.
PATIENTS: 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.
