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Macular hole Narciso F. Atienza, Jr. MD, DPBO Michael Shea Vitreo-Retina Fellow,  University of Toronto St. Michael’s Hospital (2002-2004) Chief Retina Service: Cardinal Santos Medical Center
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Factors inciting macular hole formation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Theory on Macular hole formation ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gass JDM. Idiopathic senile macular hole: its early stages and pathogenesis. Arch Ophthalmol 1988: 106:629-639.
[object Object],[object Object],Tornambe, P. Macular Hole Genesis: The Hydration Theory. Retina: 23 (3) June 2003 421-424
Other theories in macular hole formation ,[object Object],[object Object],[object Object]
Incidence and Risk factors (?) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gass classification
[object Object],[object Object],[object Object]
Stage 1
[object Object],[object Object]
Stage 2
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stage 3
[object Object]
Stage 4
[object Object],[object Object],[object Object]
Questions asked ,[object Object],[object Object]
[object Object],Kelly, EK, and Wendel, RT. Vitreous surgery for idiopathic macular holes: results of a pilot study, Arch Ophthalmol 109:654, 1991
[object Object],[object Object],[object Object]
Personal experience ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Observation ,[object Object],[object Object],[object Object],[object Object]
Post-operative course ,[object Object],[object Object],[object Object],[object Object],[object Object]
Technical modifications ,[object Object],[object Object]
Surgical adjuncts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Dr. Michael Shea 1st Fellow of Charles Schepens 1st Retina Surgeon in Canada (U of Toronto)

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