title: Management of traumatic macular holes: case report.
abstract: Traumatic macular hole is a disease whose pathogenesis is not fully understood and the best treatment guideline is controversial. We report 2 cases of traumatic macular hole with different treatment approaches. In the first case, a 9-year-old boy presented with a traumatic macular hole secondary to blunt ocular trauma with a stone, and initial vision of 20/300. He underwent surgical repair and his final vision was 20/70 with hole closure after a 1 year follow-up. In the second case, a 20-year-old woman suffered a penetrating bullet wound on the left side of her forehead. The injury caused optic nerve head avulsion in the left eye with loss of light perception. The right eye had a traumatic macular hole and signs suggestive of sclopetaria chorioretinitis, with 20/60 vision. This case was initially observed and vision improved to 20/30 with reduction of the hole diameter. Vision and hole diameter remained stable after 8 months.
authors.affiliation: Instituto Brasileiro de Oftalmologia, Rio de Janeiro, Brasil. dico@unisys.com.br
authors.forename: Oswaldo Ferreira Moura
authors.initials: OF
authors.lastname: Brasil
authors.forename: Oswaldo Moura
authors.initials: OM
authors.lastname: Brasil
mesh_terms: D002648:Child; D015807:Eye Injuries, Penetrating / Q000150:complications*; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000293:injuries* / Q000473:pathology; D008297:Male; D012167:Retinal Perforations / Q000209:etiology* / Q000473:pathology; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D014948:Wounds, Gunshot / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*; D055815:Young Adult