Lamellar or partial thickness macular holes, most often due to rupture of macular cysts, may also ophthalmoscopically resemble full-thickness holes. The visual acuity, which is often worse in eyes with a true macular hole due to the complete loss of photoreceptors, may not accurately indicate the diagnosis.
Macular hole and lamellar macular hole are easily and readily visualized by OCT , the diagnoses being quite definitive.