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Consecutive patients with stage 4 macular hole (MH), undergoing pars plana vitrectomy, were studied retrospectively. Based on the existence or lack of EP, patients were sorted into two groups. Surgical outcomes, baseline characteristics, and optical coherence tomography (OCT) features of macular holes (MHs) were evaluated comparatively across the groups. Thirty percent (31 of 102) of eyes with stage 4 MH displayed the presence of EP. Among patients with EP, there were statistically significant differences in