Macular hole formation without vitreofoveal traction.

on the eye increases intraocular pressure to approximately 90 mm Hg, which is sufficient to overcome systolic pressures and cease central retinal artery blood flow. Given that even hard squeeze blinks have been shown to increase intraocular pressure in a range from 50 to 110 mm Hg, it is certainly conceivable that the appearance of peripheral ROP in this patient may have been altered through this mechanism. Important advantages of wide-angle imaging for ROP include the opportunity for objective documentation of retinal structures, as well as serial comparison of findings. Using these images, telemedicine has the potential to improve the overall quality of ROP care through accessibility to experts and standardization of examination procedures. This report demonstrates that errors in image capture and interpretation can occur, even in severe posterior disease. Recognition of these cases, with adequate training of photographers and image graders, can improve the accuracy and reliability of wide-angle retinal imaging and telemedical ROP diagnosis.