Spontaneous closure of a large traumatic macular hole in a young patient.
OBJECTIVE
To report the spontaneous resolution of a traumatic macular hole that was considerably larger than in previously reported cases.


METHODS
Observational case report.


METHODS
The clinical and angiographic data of the patient were reviewed.


RESULTS
A traumatic 600 x 400 micro macular hole was observed to spontaneously resolve 5 weeks after trauma in a 15-year-old patient. Visual acuity only slightly improved consequently (from counting fingers at 4 meters to 20/200). The clinical appearance of the fovea after macular hole resolution raised the suggestion that a postconcussion retinal necrosis was the mechanism behind the lesion formation in this case.


CONCLUSIONS
Spontaneous resolution of a traumatic macular hole is an outcome not limited to small lesions. Larger macular holes may represent retinal tissue loss and consequently a less favorable visual prognosis.
Yeshurun
Itamar
I
Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Guerrero-Naranjo
Jose L
JL
Quiroz-Mercado
Hugo
H
D000293:Adolescent; D005131:Eye Injuries / Q000150:complications*; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D012075:Remission, Spontaneous; D012167:Retinal Perforations / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*