Klin Monbl Augenheilkd 2009; 226(4): 359-360
DOI: 10.1055/s-0028-1109250
Der interessante Fall

© Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Closure of a Traumatic Macular Hole

Spontanverschluss eines traumatischen MakulaforamensA. P. Lange, K. Vandekerckhove, C. Becht, P. A. Zakrzewski, M. K. Schmid
Further Information

Publication History

Publication Date:
21 April 2009 (online)

Background

Traumatic macular hole (TMH) is a well-known complication of blunt trauma, but its exact mechanism remains unclear. Spontaneous closure of TMH is common, being reported to occur in 44 – 64 % of cases [4] [6]. We describe a case of spontaneous closure of a TMH with almost complete visual recovery and show that serial OCT imaging of the macular hole and the subretinal fluid is useful in gauging ultimate visual recovery.

References

  • 1 Bresgen M, Heimann K. Idiopathic macular foramen: new aspects of staging and possible therapeutic concepts.  Klin Monatsbl Augenheilkd. 1995;  206 (1) 2-12
  • 2 Johnson R N, McDonald H R, Lewis H. et al . Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery.  Ophthalmology. 2001;  108 (5) 853-857
  • 3 Kristin N, Ehrt O, Gass C A. et al . Preoperative scanning laser ophthalmoscope: findings in idiopathic macular foramen.  Ophthalmologe. 2001;  98 1060-1064
  • 4 Mitamura Y, Saito W, Ishida M. et al . Spontaneous closure of traumatic macular hole.  Retina. 2001;  21 385-389
  • 5 Yamada H, Sakai A, Yamada E. et al . Spontaneous closure of traumatic macular hole.  Am J Ophthalmol. 2002;  134 340-347
  • 6 Yamashita T, Uemara A, Uchino E. et al . Spontaneous closure of traumatic macular hole.  Am J Ophthalmol. 2002;  133 230-235
  • 7 Yanagiya N, Akiba J, Takahashi M. et al . Clinical characteristics of traumatic macular holes.  Jpn J Ophthalmol. 1996;  40 544-547
  • 8 Yeshurun I, Guerrero-Naranjo J L, Quiroz-Mercado H. Spontaneous closure of a large traumatic macular hole in a young patient.  Am J Ophthalmol. 2002;  134 602-603

Dr. Alex P. Lange

Augenklinik, Luzerner Kantonsspital

Spitalstraße

6000 Luzern 16

Switzerland

Phone: + + 41/41/2 05 11 11

Email: alex@lange.ch