title: Optical coherence tomography and fundus microperimetry imaging of spontaneous closure of traumatic macular hole: a case report.
abstract: OBJECTIVE
  To report a case of spontaneous closure of traumatic macular hole in a young patient followed using optical coherence tomography (OCT) and fundus microperimetry.
  
  
  RESULTS
  In the right eye of a 10-year-old child, a traumatic macular hole was observed to spontaneously resolve 18 weeks after blunt trauma. Initially, visual acuity in the right eye was 20/200 and OCT examination showed a 200 microm-diameter full-thickness macular hole with perifoveal edema. Fundus microperimetry examination showed an evident decrease in retinal sensitivity within the macular hole and in the upper macular region where an area of commotio retinae was clearly visible. During follow-up OCT demonstrated the appearance of a band of tissue linking the inferior edge of the hole to the foveal retinal pigment epithelium and at the bottom of the hole the presence of hyperreflective (glial) material. Eighteen weeks after trauma right eye visual acuity had improved to 20/25, OCT examination showed a restored foveal depression, and fundus microperimetry demonstrated an increase in foveal sensitivity.
  
  
  CONCLUSIONS
  Both OCT and fundus microperimetry were useful tools for following the favorable course in a case of spontaneous closure of traumatic macular hole in a young patient. During follow-up OCT examinations were able to demonstrate the course of macular hole closure.
authors.affiliation: Department of Medicine and Aging Sciences, Section of Ophthalmology, University "G D'Annunzio" Chieti-Pescara- Italy. p.carpineto@unich.it
authors.forename: P
authors.initials: P
authors.lastname: Carpineto
authors.forename: M
authors.initials: M
authors.lastname: Ciancaglini
authors.forename: A
authors.initials: A
authors.lastname: Aharrh-Gnama
authors.forename: L
authors.initials: L
authors.lastname: Agnifili
authors.forename: A M
authors.initials: AM
authors.lastname: Cerulli
authors.forename: D
authors.initials: D
authors.lastname: Cirone
authors.forename: L
authors.initials: L
authors.lastname: Mastropasqua
mesh_terms: D002648:Child; D005131:Eye Injuries / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008266:Macula Lutea / Q000293:injuries*; D008297:Male; D012075:Remission, Spontaneous; D012167:Retinal Perforations / Q000175:diagnosis* / Q000503:physiopathology; D012916:Soccer / Q000293:injuries*; D041623:Tomography, Optical Coherence / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000503:physiopathology