Identification of visually significant operculum without macular hole by optical coherence tomography

Can J Ophthalmol. 2006 Feb;41(1):41-3. doi: 10.1016/S0008-4182(06)80065-7.


Case report: We report a case that illustrates the effectiveness of optical coherence tomography (OCT) in identifying visually significant vitreoretinal interface opacities in the absence of a macular hole. A patient presented with a scotoma in the right eye. Fundoscopic examination revealed a small lesion in close proximity to the foveal avascular zone. OCT of the right eye revealed a small operculum in the vitreous anterior to the fovea without evidence of a macular hole.

Comments: To our knowledge, ours is the first reported case of the use of OCT to identify the presence of a visually significant operculum without an associated macular hole.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Epiretinal Membrane / diagnosis*
  • Fovea Centralis / pathology*
  • Humans
  • Male
  • Retinal Perforations / diagnosis
  • Scotoma / diagnosis*
  • Tomography, Optical Coherence / methods*
  • Vitreous Body / pathology*