title: Spontaneous closure of a large traumatic macular hole in a young patient.
abstract: 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.
authors.affiliation: Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
authors.forename: Itamar
authors.initials: I
authors.lastname: Yeshurun
authors.forename: Jose L
authors.initials: JL
authors.lastname: Guerrero-Naranjo
authors.forename: Hugo
authors.initials: H
authors.lastname: Quiroz-Mercado
mesh_terms: 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*