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Left Eye Heidelberg Spectralis® OCT 2 dimensional movie which is composed of multiple horizontal sections beginning from the bottom and going up. Note: The movie can easily be paused or replayed by moving the mouse over the bottom of the black box to reveal a control panel.
The horizontal scan through the macula and optic nerve head demonstrates the attachment of the posterior vitreous at the macula and the optic nerve head. Note: The presence or absence of the PIL is generally better documented with gray scale imaging.
The horizontal section through the fovea depicts vitreal macular traction, which distorts the presence of normal foveal pit (see page 21).
Example 1: Full Thickness Macular Hole History/Chief ComplaintA 69 year old Hispanic female presented for follow -up for reduced vision in her left eye for two years secondary to a full thickness macula hole. Macula hole surgery performed elsewhere was unsuccessful. About six months later, she developed a superior temporal branch vein occlusion and then
Right Eye Heidelberg Spectralis® OCT 2 dimensional movie which is composed of multiple horizontal sections beginning from the bottom and going up. Note: The movie can easily be paused or replayed by moving the mouse over the bottom of the black box to reveal a control panel.
Vitreomacular traction (VMT or persistent vitreous attachment to the central macula caused by incomplete vitreous detachment) is virtually invisible to ophthalmoscopy but remarkably well documented with SD OCT. VMT, as well as degeneration of the inner retinal layers at the central fovea, are both implicated in macula hole formation. This case of the week
