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Updated: Feb 11, 2026

Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
Published on: May 26, 2023
Laminated posterior vitreous cortex associated with idiopathic macular hole
Tomomi Higashide1, Kazuhisa Sugiyama
1Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. eyetomo@kenroku.kanazawa-u.ac.jp
Purpose:
To report an unusual preretinal opacity associated with an idiopathic macular hole (MH) that was identified by optical coherence tomography.
Design:
Observational case report.
Methods:
A 59-year-old woman with a preretinal linear opacity running across an MH was examined by optical coherence tomography.
Results:
Optical coherence tomography showed a full-thickness MH with a superiorly hinged flap. The preretinal opacity was identified as a part of a laminated vitreous cortex that was perpendicularly attached to the apex of the flap. A horizontal scan showed a partly double-layered posterior vitreous cortex. Two months later, the linear opacity disappeared coincident with a complete posterior vitreous detachment. The MH was closed by vitrectomy with peeling of the internal limiting membrane.
Conclusions:
Optical coherence tomography identified an unusual ophthalmoscopic presentation of a preretinal opacity as a part of laminated vitreous cortex associated with a "can-opener" MH.
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