The separated flap (operculum) becomes suspended within the posterior hyaloid above the retinal surface. An operculated hole differs from an atrophic (round) hole, which is not caused by traction.
B, Corresponding SDOCT image shows a hyperreflective area affecting the full thickness retina (arrow), a thickened posterior hyaloid (open arrowhead), and cells on the vitreous cavity (arrowhead).
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