Macula Hole Flashcards
1
Q
What symptoms would a px with a macula hole experience?
A
- Poor central vision in one eye
- Unilateral and painless
- > 60 yrs, females
2
Q
What are the signs of a macula hole?
A
Stage 1: IMPENDING - underlying yellow spot, inner retinal layers detach from photoreceptors, vision 6/6-6/9, worse with pinhole.
Stage 1b: OCCULR - yellow ring appearance, photoreceptor lose support, vision 6/12, distortion.
Stage 2: EARLY - hole <400microns, pseudo-operculum lifts, clinically visible (vision 6/18-6/24)
Stage 3/4: ESTABLISHED - hole >400microns, cuff of sub retinal fluid, vision 6/36-6/60
Stage 4: PVD
3
Q
What is the management/referral/treatment for a macula hole?
A
Stage 2 or worse with VA <6/9 = URGENT
STAGE 1 resolves simultaneously = monitor
TREATMENT = vitrectomy with gas bubble, ocriplasmin.
