Abstract
Macular holes can arise from different etiologies and can lead to vision loss. Though various treatments have been proposed, the management of ＂traumatic＂ macular holes is not widely standardized. We report on a case of a ＂traumatic＂ macular hole in a pediatric patient that spontaneously closed through a distinct mechanism, that we characterized by ocular coherence tomography. Over 6 months, the patient's visual acuity improved from 20/400 to 20/40 as the macular hole closed.
Highlights
Several theories have been proposed for the development of idiopathic macular holes, including the cystoid degeneration theory, the vitreous theory, and involutional macular thinning [1]
While is it understood that the majority of idiopathic macular holes fall into one of these categories, we will discuss a case of a traumatic macular hole arising from blunt ocular trauma and propose a mechanism for the formation and closure of the traumatic macular hole
We describe a case of a traumatic macular hole in a pediatric patient in which we characterized the mechanism of spontaneous hole closure
Summary
Several theories have been proposed for the development of idiopathic macular holes, including the cystoid degeneration theory, the vitreous theory, and involutional macular thinning [1]. While is it understood that the majority of idiopathic macular holes fall into one of these categories, we will discuss a case of a traumatic macular hole arising from blunt ocular trauma and propose a mechanism for the formation and closure of the traumatic macular hole. We describe a case of a traumatic macular hole in a pediatric patient in which we characterized the mechanism of spontaneous hole closure.
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