title: Macular hole in a newborn associated with forceps delivery.
abstract: A newborn who had familial high myopia presented with bilateral dense vitreous hemorrhage after forceps delivery. Vitrectomy in the right eye revealed a macular hole surrounded by pigmented cells. After subsequent surgery, the macular hole healed and remained closed during 10 years of follow-up, but profound amblyopia persisted. Macular hole is a possible complication of forceps delivery. Vitrectomy associated with inner limiting membrane peeling and gas tamponade was effective in closing macular hole in a newborn but was unable to prevent amblyopia.
authors.affiliation: Ophtalmology A, Service Ophtalmology Hopital Central, Nancy, France.
authors.forename: Malicia
authors.initials: M
authors.lastname: Casillas
authors.forename: Marie-Christine
authors.initials: MC
authors.lastname: Bazard
authors.forename: Isabelle
authors.initials: I
authors.lastname: Hubert
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Berrod
mesh_terms: D000550:Amblyopia / Q000175:diagnosis / Q000209:etiology; D001720:Birth Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D058450:Endotamponade; D005113:Extraction, Obstetrical / Q000009:adverse effects* / Q000295:instrumentation; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D005466:Fluorocarbons; D006801:Humans; D007231:Infant, Newborn; D047728:Myopia, Degenerative / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D009772:Obstetrical Forceps / Q000009:adverse effects*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
chemical_list: D005466:Fluorocarbons; C042852:perflutren