Traumatic macular hole-related retinal detachment in an emmetropic eye successfully treated with vitrectomy.

Abstract

The authors report a case of retinal detachment in an emmetropic eye secondary to development of a traumatic macular hole treated by removal of the internal limiting membrane (ILM) with a good visual outcome. A 13-year-old boy was hit in his left eye by a football. The best-corrected visual acuity (BCVA) of the left eye was 20/40. A traumatic macular hole was present without posterior vitreous detachment. A retinal detachment secondary to a traumatic macular hole developed and BCVA decreased to 20/60 6 weeks after the injury Because the retinal detachment became more extensive 3 months after the injury, vitreous surgery was performed with creation of a posterior vitreous separation, followed by removal of the ILM surrounding the macular hole using 0.5% indocyanine green stain. Fluid-air exchange was performed followed by 20% SF6 gas tamponade. The retina was reattached and the traumatic macular hole closed. The VA of the left eye improved to 20/30 1 month postoperatively. No serious complications occurred during follow-up. Vitreous surgery with removal of the ILM appears to be a useful technique for treating traumatic macular holes with retinal detachments in emmetropic eyes and could achieve good visual outcomes in some cases.