Abstract
Traumatic macular hole (TMH) closure after ocular trauma is not uncommon, especially in young people. We report a case of TMH prospectively followed using OCT (OCT-3) and fundus-related perimetry (MP-1 microperimetry). A 36 years-old man was diagnosed with TMH a few hours after a traumatism of his left eye (soccer ball). We analyzed the spontaneous evolution of the TMH performing OCT-3 and MP-1, up to 18 months after the initial observation. At initial examination, visual acuity was light perception and fundoscopy revealed a macular hole with associated commotio retinae of the posterior pole. OCT-3 showed the presence of a full-thickness macular hole with cuff of subretinal fluid and minimal parafoveal edema. MP-1 showed unstable and eccentric fixation and diffuse reduction of sensitivity. As early as one-week follow-up, the macular hole closed spontaneously and visual acuity improved. At the 18-month follow-up, best corrected visual acuity (BCVA) was 20/40, OCT scans showed complete closure of the macular hole with some atrophic changes, and MP-1 revealed a localized reduction of sensitivity (superior aspect of the posterior pole) and a new eccentric and stable fixation (preferred-retinal-locus, PRL). In our case, OCT and fundus-related perimetry were respectively able to show the spontaneous closure of TMH and the development of the new PRL. OCT-3 and MP-1 are useful tools to predict the evolution of TMH.
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