Successful surgical treatment of traumatic macular hole with total rhegmatogenous retinal detachment in a child

Abstract

Background: The purpose of this case report was to investigate the surgical results and morphologic characteristics of a pediatric traumatic macular hole with total rhegmatogenous retinal detachment. Case presentation: The 4-year-old male patient underwent scleral buckling surgery combined with vitrectomy with the inverted internal limiting membrane (ILM) flap technique and silicone oil tamponade for five months. Complete ophthalmic examination was performed preoperatively and 7 days, 1, 3, 6, 9, and 12 months after surgery. Successful retinal reattachment was achieved, and the macular hole was successfully closed. Visual acuity improved from hand motion at the initial visit to 20/80 (0.6 LogMAR) postoperatively. Conclusions: Scleral buckling surgery and vitrectomy with the inverted ILM flap technique appeared to give effective anatomical and functional results in the pediatric post-traumatic case with macular hole and retinal detachment.