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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.
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Excellent closure rates for macular hole surgery reported.
8
Need for more research on surgical outcomes in low-income regions.
