Traumatic macular hole: observations, pathogenesis, and results of vitrectomy surgery.
OBJECTIVE
To review our experience with vitrectomy surgery techniques for the treatment of traumatic macular holes and the biomicroscopic and surgical findings.


METHODS
Retrospective noncomparative, multicenter, case series.


METHODS
Twenty-five patients with traumatic macular hole underwent surgical repair.


METHODS
Vitrectomy with membrane peeling and gas injection followed by prone positioning for 7 to 14 days.


METHODS
Postoperative evaluation included visual acuity testing, closure of the macular hole, and ocular complications.


RESULTS
The macular hole was successfully closed in 24 of 25 cases (96%). The visual acuity improved two or more lines in 21 (84%) cases, and 16 (64%) achieved 20/50 or better vision.


CONCLUSIONS
Vitrectomy surgery can successfully close macular holes associated with trauma and improve vision.
Johnson
R N
RN
Retina Research Fund of St. Mary's Medical Center, San Francisco, California 94109, USA.
McDonald
H R
HR
Lewis
H
H
Grand
M G
MG
Murray
T G
TG
Mieler
W F
WF
Johnson
M W
MW
Boldt
H C
HC
Olsen
K R
KR
Tornambe
P E
PE
Folk
J C
JC
D000293:Adolescent; D000328:Adult; D002648:Child; D005131:Eye Injuries / Q000209:etiology / Q000601:surgery*; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D016684:Prone Position; D012160:Retina / Q000293:injuries*; D012167:Retinal Perforations / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*
D005466:Fluorocarbons; C042852:perflutren