A transprent epiretinal membrane is contracted, causing the retinal surface to have an irregular reflex and small vessels to be tortuous. A spontaneous partial detachment of the membrane has occurred inferiorly with a crescent shaped scroll ot the membrane edge. The fovea looks like it has a hole. OCT reveals an attached preretinal membrane which pulls the inner parts of the fovea towards the center, simulating a macular hole. The central retina has cystoid changes.
McCuen, Brooks, M.D., Duke University Eye Center, Durham, NC, USA