Spontaneous Closure of Traumatic Macular Hole

Abstract

Retina Department, Tejas Eye Hospital, Mandvi, District, Surat, Gujarat, India e mail id : doctor_khushboo@yahoo.in Dear Editor, We read with interest the article written by Lalit Verma et al1 describing “spontaneous resolution of traumatic macular hole” in a 9 year old girl with choroidal rupture with subretinal haemorrhage & vitreous haemorrhage inferiorly in right eye. We would like to congratulate authors for their very nice case report. We would like to make few comments on the case report. Full thickness macular hole was confirmed on spectral domain OCT Scan & there was no vitreous traction on OCT. OCT complements fundus biomicroscopy findings in the evaluation of stage of hole & vitreous adhesion. Moreover, it helps in the detection of subclinical inner retinal layer defect. Patient was kept on observation as child’s parents deferred surgery to a later date due to her academic examination & patient was followed up regularly. Close follow up is required to monitor for development of hole. Visual acuity improved gradually in follow up visits & serial fundus photos & OCT scans showing improvement and at seven months, there was type 2 closure of traumatic macular hole with improvement in visual acuity.