2016
DOI: 10.4103/0974-620x.184530
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Spontaneous closure of macular hole following blunt trauma

Abstract: Ocular trauma can result in macular hole and it can lead to complete loss of central vision. We are reporting a case of traumatic macular hole associated with retinal hemorrhages and choroidal ruptures with spontaneous resolution and total vision recovery.

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Cited by 3 publications
(6 citation statements)
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“…1 Visual recovery is variable as it depends upon the period for which macular hole was present till its closure and the associated photoreceptor damage at the fovea, during the reapposition of the inner and outer retinal layer. 5 In our case, closure can be attributed due to posterior vitreous detachment after cataract surgery. 6 The case highlights that small diameter MH can resolve without any retinal surgical intervention with a posterior vitreous separation.…”
Section: Discussionmentioning
confidence: 57%
“…1 Visual recovery is variable as it depends upon the period for which macular hole was present till its closure and the associated photoreceptor damage at the fovea, during the reapposition of the inner and outer retinal layer. 5 In our case, closure can be attributed due to posterior vitreous detachment after cataract surgery. 6 The case highlights that small diameter MH can resolve without any retinal surgical intervention with a posterior vitreous separation.…”
Section: Discussionmentioning
confidence: 57%
“…[20][21][22] In the setting of trauma, it is unknown whether the MHs were typical traumatic MHs or whether the subretinal hemorrhage contributed to MH formation. [20][21][22] Recently Pereira et al 23 described a patient with pathologic myopia, posterior staphyloma, and baseline myopic macular schisis who developed a myopic CNVM associated with the occurrence of a small, full-thickness MH. In that case, the anteroposterior traction from the staphyloma, along with weakened foveal integrity in the setting of myopic macular foveoschisis, may have contributed to foveal dehiscence and MH formation from the CNVM.…”
Section: Discussionmentioning
confidence: 99%
“…The management of the concurrent subretinal hemorrhage and MH in previously reported cases such as RAM or trauma was based on the specific clinical and anatomic features and included observation, 22 pneumatic (C 3 F 8 ) displacement of the submacular hemorrhage and prone positioning, 20 and PPV with ILM peeling (± inverted ILM flap) for the MH ± subretinal injection of recombinant tissue plasminogen injection for the submacular hemorrhage and gas tamponade. 18,19,21 In each of these cases, the subretinal hemorrhage resolved 22 or was effectively displaced, [18][19][20][21] and the MH closed. [18][19][20][21] In the case reported here, given the absence of notable preexisting tractional forces, it is possible that treatment of the underlying wet AMD could have allowed sufficient hemorrhage and subretinal fluid resolution to reappose the retinal edges and achieve MH closure.…”
Section: Discussionmentioning
confidence: 99%
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