1. Macular holes in Africa present differently than in other regions.
2. 54% of Black African patients had median size holes of 500 microns.
3. Stronger vitreoretinal adhesion noted in African eyes.
4. Eccentric macular holes (EMHs) found in 11.2% of examined cases.
5. Intraocular dye toxicity and ILM adherence may contribute to EMH formation.
6. Adjustments in surgical techniques can prevent EMH development.
7. Excellent closure rates for macular hole surgery reported. 8. Need for more research on surgical outcomes in low-income regions.
