Spontaneous closure of a large traumatic macular hole in a young patient.

Abstract:

PURPOSE:To report the spontaneous resolution of a traumatic macular hole that was considerably larger than in previously reported cases. DESIGN:Observational case report. METHODS:The clinical and angiographic data of the patient were reviewed. RESULTS:A traumatic 600 x 400 micro macular hole was observed to spontaneously resolve 5 weeks after trauma in a 15-year-old patient. Visual acuity only slightly improved consequently (from counting fingers at 4 meters to 20/200). The clinical appearance of the fovea after macular hole resolution raised the suggestion that a postconcussion retinal necrosis was the mechanism behind the lesion formation in this case. CONCLUSIONS:Spontaneous resolution of a traumatic macular hole is an outcome not limited to small lesions. Larger macular holes may represent retinal tissue loss and consequently a less favorable visual prognosis.

journal_name

Am J Ophthalmol

authors

Yeshurun I,Guerrero-Naranjo JL,Quiroz-Mercado H

doi

10.1016/s0002-9394(02)01594-5

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

602-3

issue

4

eissn

0002-9394

issn

1879-1891

pii

S0002939402015945

journal_volume

134

pub_type

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