Physical examination A reticulate hyperpigmented macular rash was present at the axillae, groins, extensor aspect of the upper limbs, buttocks, and thighs (Figure 1). Poikilodermatous changes were observed, with hypopigmented macules, epidermal atrophy and telangiectasia (Figure 2). Erythematous patches with epidermal atrophy were also seen, especially over the abdomen and chest (Figure 3). The...

An impending macular hole, also known as a stage 1 macular hole, is considered the precur‐ sor to a full thickness idiopathic macular hole. Impending macular holes have a splitting of the inner retina with the clinical appearance of a foveolar cyst or pseudocyst. In some cases, this inner splitting can be associated with a defect in the underlying outer retina (Lee, Kang et al. 2011). An impend...

PURPOSE To identify and quantitate specific changes in optical coherence tomography (OCT) images of patients with type 2 idiopathic perifoveal telangiectasia (IPT). METHODS In a prospectively designed, observational, case-control study, 28 eyes of 14 consecutive patients with IPT were examined with OCT and compared with eyes of 14 unaffected control subjects. Light reflectivity profiles of ra...

SEPTEMBER 2010 I RETINA TODAY I 75 W hen Kelly and Wendel described vitreous surgery for idiopathic macular holes in 1991, they advised face-down postoperative posturing for patients.1 Since that time, most retina specialists have adopted face-down positioning as a cardinal rule after macular hole surgery, although there is a lack of data showing its necessity. At the American Academy of Ophtha...

PURPOSE To compare the efficacy and safety of 23-gauge transconjunctival vitrectomy with the conventional 20-gauge method in idiopathic epiretinal membrane and macular hole surgery. METHODS Sixty-one consecutive patients undergoing vitrectomy for idiopathic epiretinal membrane and macular hole were recruited to either 20- or 23-gauge vitrectomy groups and prospectively evaluated. Surgical suc...