Figure 7.
Lamellar macular hole. The patient is a 59-year-old man who had a giant retinal tear and subsequent scleral buckle and pars plana vitrectomy. Images were taken 7 years later, at which time visual acuity was 20/25. A, Ultrahigh-resolution optical coherence tomography demonstrating an epiretinal membrane (ERM) and a small lamellar hole. B, The lamellar hole (×2 magnification), showing a sharp break through the inner layers of the retina. There seems to be separation between the outer plexiform layer (OPL) and the outer nuclear layer (ONL). There is also a very small disruption of the photoreceptor inner/outer segments (IS/OS) junction at the foveola. ELM = external limiting membrane; RPE = retinal pigment epithelium.