Introduction
The retinal holes are full thickness holes which form and typically have a low chance of rhegmatogenous retinal detachment (RRD) progression.
Dead Giveaways
Atrophic Retinal Holes
Caused by progressive retinal thinning and not caused by traction
Round, full-thickness breaks
Shows the atrophic holes 
Shows the hole in OCT
Operculated Retinal Holes
Is caused by traction
Area of strong vitreoretinal attraction and traction from mobile vitreous leads to a plug of retina that is removed
The removed retinal is called the operculum
The operculum floats as a white disc shaped floater
The operculum is fibrous, and will contract and decrease in size over time
Review of Optometry. Shows the operculated hole with the operculum 
Retina specialist shows the operculated hole and the operculum
diagnostic features
RRD Risk of Progression:
Atrophic Holes
There is no traction, and so RPE active transport may be enough to keep the neurosensory retina attached.
Chance of RRD is <7%, but higher if subclinical detachment is >2DD
Operculated Holes
80% occur after PVD, and has low progression risk to RD