Late reopening of spontaneously closed traumatic macular hole.

Abstract

To describe a case of a late reopening of a traumatic macular hole (MH) 2 years after initial spontaneous closure. A 12-year-old boy was hit by a softball in the right eye, with an immediate decrease of visual acuity (20/100 in the right eye). He presented MH in the right eye. Without surgical intervention, the traumatic MH closed spontaneously 2 weeks later, with visual recovery (20/50 in the right eye). Two years later, the MH reopened, with visual loss (20/70 in the right eye) but no sign of posterior vitreous detachment or epiretinal membrane. Spontaneous closure did not occur, and the patient underwent vitrectomy with internal limiting membrane peeling and SF6 gas tamponade. The MH closed after surgery, and visual acuity improved (20/40 in the right eye). While reopening might be a rare complication, ophthalmologists should be aware of it occurring as a possible late complication of a spontaneously closed traumatic MH.