Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up

Bibliographic Details
Title: Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up
Authors: Grassi, Piergiacomo, Salicone, Alberto
Source: GMS Ophthalmology Cases, Vol 10, p Doc41 (2020)
Publisher Information: German Medical Science GMS Publishing House, 2020.
Publication Year: 2020
Collection: LCC:Ophthalmology
Subject Terms: epiretinal membrane, macular hole, optical coherence tomography, pars-plana vitrectomy, spontaneous closure, traumatic macular hole, Ophthalmology, RE1-994
More Details: Objective: To report a case of delayed spontaneous closure of traumatic macular hole at 5 months in a 66-year-old man. Traumatic macular holes generally do not close spontaneously after 4 months and over 3ears of age.Methods: A 66-year-old man presented with central blurred vision and metamorphopsia in his right eye for 3 weeks after previous ocular blunt trauma occurring 2 months earlier. Best corrected visual acuity was 6/36 in his right eye, fundus examination and OCT revealed right traumatic macular hole.Results: 4 weeks later, best corrected visual acuity was 6/18, OCT showed initial reattachment of traumatic macular hole margins. 8 weeks later, best corrected visual acuity improved to 6/9, OCT showed almost complete reattachment of the margins, residual outer retinal defect being still present. At 12 weeks after initial presentation, best corrected visual acuity was 6/6, OCT showed normal neuroretinal profile.Conclusion: Clinical monitoring of traumatic macular holes might be performed up to 5 months even in patients >30 years before considering surgery.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2193-1496
Relation: http://www.egms.de/static/en/journals/oc/2020-10/oc000168.shtml; https://doaj.org/toc/2193-1496
DOI: 10.3205/oc000168
Access URL: https://doaj.org/article/ce275526766842fa8ec9a45675ac5e88
Accession Number: edsdoj.275526766842fa8ec9a45675ac5e88
Database: Directory of Open Access Journals
More Details
ISSN:21931496
DOI:10.3205/oc000168
Published in:GMS Ophthalmology Cases
Language:English