A rapid and successful treatment for airbag-related traumatic macular hole.
A 28-year-old female was diagnosed as having an airbag-related traumatic macular hole in the right eye 9 days subsequent to a traffic accident. Four weeks after the trauma, the patient's visual acuity was deteriorating to 20/600. Following vitrectomy, membrane peeling, use of autologous serum and intraocular gas tamponade, the hole healed within 12 days, more rapidly than the expected interval for the treatment of a traumatic macular hole. The visual acuities at the 3-month and 1-year follow-up examinations were 20/50, much better than the conventional surgical treatment of idiopathic macular hole and comparable to previous reports of the treatment of traumatic macular hole. Vitrectomy procedure has been proved to be effective for the treatment of traumatic macular hole. Vitrectomy combined with membrane peeling, autologous serum and intraocular gas tamponade can heal the traumatic macular hole more rapidly than the conventional treatment with vitrectomy only.
Hwang
Y S
YS
Department of Opthalmology, Chang Gung Memorial Hospital, 5, Fu-Hsing Street, Kweishan, Taoyuan 333, Taiwan, R.O.C.
Lai
C C
CC
Yang
K J
KJ
Chen
T L
TL
D000063:Accidents, Traffic; D000328:Adult; D017278:Air Bags / Q000009:adverse effects*; D005260:Female; D006801:Humans; D012167:Retinal Perforations / Q000209:etiology / Q000628:therapy*; D014821:Vitrectomy