Starr MR, Obeid A, Ryan EH, et al. - Given that non-causal macular holes (MHs) can occur concurrently with rhegmatogenous retinal detachments (RRDs) and the visual outcomes and surgical approach for these eyes are variable, researchers conducted this multi-institutional, retrospective review to analyze surgical outcomes of primary RRD with and without a concurrent full-thickness macular hole. They analyzed all primary retinal detachment surgeries from January 1, 2015, through December 31, 2015. There were 2,242 eyes with pars plana vitrectomy for primary RRD, of which 43 (1.9%) had MH at the time of the surgery. It was noted that the mean postoperative logMAR visual acuity (VA) for the MH cohort was 0.87 ± 0.64 (20/148) and for eyes without a MH was 0.47 ± 0.63. Compared with patients without a MH, those with noncausal MHs and RRD had significantly worse VA. In patients with both RRD and MH, preoperative counseling is imperative.