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CONCLUSION Two different pathological mechanisms may actually underlie the forming of macular holes The optical coherence tomography-guided classification of Gass phase 1 macular gap as an antero-posterior traction with a triangular foveolar detachment has got to be distinguished from a tangential traction and a whole posterior vitreal detachment. Tangential traction is normally associated with a more dome-shaped or irregular foveolar detachment and a hyper-ref