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Macular Hole

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Spectral Domain Optical Coherence Tomography in Macular Diseases

Abstract

Macular hole (MH) is a round full-thickness opening in the foveal center. Idiopathic MH, i.e., due to abnormal vitreofoveal traction, is the most common presentation. The role of the vitreous cortex in the pathogenesis of MH has begun to be better understood with the biomicroscopic observations of JDM Gass (Gass 1988). The advent of optical coherence tomography (OCT), which showed the partially detached posterior hyaloid (PH), has clarified the understanding of MH formation. Spectral domain OCT (SD-OCT) has subsequently provided more detailed views of the initial foveal changes induced by the vitreofoveal traction. MH classification has been recently simplified and combines the hole diameter and the presence or absence of a residual vitreous traction on its edge (Duker et al. 2013). The terminology used in this chapter to describe OCT images complies with the lexicon proposed by the international OCT consensus (Staurenghi et al. 2014).

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Authors and Affiliations

  1. Department of Ophthalmology, Université Paris 7-Diderot. Sorbonne Paris Cité, and Hôpital Lariboisière, AP-HP, Paris, France

    Alain Gaudric MD & Aude Couturier MD

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  1. Alain Gaudric MD
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  2. Aude Couturier MD
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Correspondence to Alain Gaudric MD .

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Editors and Affiliations

  1. Pallas Clinic, Aarau, Switzerland

    Carsten H. Meyer

  2. Department of Ophthalmology, King George's Medical University, Lucknow, India

    Sandeep Saxena

  3. Doheny Eye Institute, Los Angeles, USA

    SriniVas R Sadda

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Gaudric, A., Couturier, A. (2017). Macular Hole. In: Meyer, C., Saxena, S., Sadda, S. (eds) Spectral Domain Optical Coherence Tomography in Macular Diseases. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3610-8_20

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