Multimodal imaging of multiple macular holes: a case report
The present case has been reported in the Indian Journal of Ophthalmology.

A 42-year-old male presented with decreased vision in the left eye since 4 years. His best-corrected visual acuity was 6/6, N6 in the right eye (OD) and 6/36, N36 in the left eye (OS). The anterior segment examination was unremarkable. The fundus was normal for OD, whereas OS revealed three retinal holes over the macula.

The optical coherence tomography (OCT) revealed a normal foveal contour for OD, whereas OS showed two full-thickness holes over macula (H1 and H2) and a lamellar hole (H3) inferiorly. H1 and H2 showed central hypoautofluorescence, with a rim of hyperautofluorescence surrounding each hole, an intervening hypoautofluorescence, and an additional outer surrounding rim of dumb-bell-shaped hyperautofluorescence.

The OD revealed a normal fundus autofluorescence. The multifocal electroretinogram (mfERG) demonstrated mildly reduced foveal peak in OD, whereas OS revealed reduced responses corresponding to the location of holes.

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