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thank you - this makes sense. The retinal fellow thought that the decline in the gas bubble so quickly was unusual but in her limited experience. Two attending MD's did not think it uncharacteristic.
With regards XXXXX XXXXX hole, the characteristics of the scotoma have changed. Central core appears to have a more stellate appearance with fine rays surrounding the hole. Previously it had more the appearance of a pupil surrounded by the iris. Might this indicate a partial closure?
This was a Grade 4 full thickness hole, idiopathic, in a 48 year old physician (fetal ultrasound medicine) with myopic index of -6.75 as well as 7 diopter base out prism for a left 6th nerve palsy resulting in diplopia. The macular hole is in the right eye.