Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution.
The association of macular detachment with posttraumatic macular hole is a known but rare occurrence. Spontaneously occurring resolution of the detachment and closure of the macular hole has been reported only once in the literature. We describe a similar rare event in a young male, the documentation of which was done serially by microperimetry (MP) and optical coherence tomography (OCT). A 17-year-old male presented with a decrease in vision following a closed globe injury to the left eye. A coexisting macular hole and macular detachment were detected in the affected eye. Serial follow-up with OCT and MP documented complete resolution of the macular hole and the macular detachment within 1 week of presentation. The case highlights that spontaneous resolution of traumatic macular hole and related macular detachment may occur and a waiting period is advisable before undertaking any corrective surgical procedure. The pathophysiologic mechanisms of causation and the resolution of posttraumatic macular hole-related retinal detachment are discussed.
Department of Vitreo-Retinal Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029, India. lalitaalok@gmail.com
Lalit
L
Aalok
Rajvardhan
R
Azad
Yog R
YR
Sharma
Swati
S
Phuljhele
D000293:Adolescent; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012075:Remission, Spontaneous; D012163:Retinal Detachment / Q000150:complications* / Q000175:diagnosis; D012167:Retinal Perforations / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D041623:Tomography, Optical Coherence / Q000379:methods*; D014792:Visual Acuity; D058609:Visual Field Tests / Q000379:methods* / Q000706:statistics & numerical data; D014794:Visual Fields; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology