This patient has a full thickness macular hole without traction. The en face image offers a unique perspective on an otherwise unremarkable case.
Learning Points:
The radiating cysts, as described in Govetto et al AJO 2020;212;43-56, have a sunflower appearance showing features of both exudative and tractional cystoid spaces.
The macular hole should be hyporeflective centrally. It is hyperreflective in this image due to the OCT software mis-identifying the RPE as being within the mid-retina.
