title: Traumatic macular hole from intentional basketball overinflation.
abstract: We report a new mechanism of ocular trauma. A basketball was intentionally overinflated until it exploded, resulting in corneal edema, hyphema, iritis, vitreous hemorrhage, commotio retinae, and a macular hole. The macular hole did not close after observation and subsequent pars plana vitrectomy with posterior hyaloid removal, but a repeat vitrectomy with internal limiting membrane peeling resulted in hole closure. Basketball overinflation to the point of explosion is a potentially blinding practice of which the public and manufacturers should be made aware.
authors.affiliation: Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts 02114, USA.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yonekawa
authors.forename: John B
authors.initials: JB
authors.lastname: Miller
authors.forename: Angela V
authors.initials: AV
authors.lastname: Turalba
authors.forename: Dean
authors.initials: D
authors.lastname: Eliott
mesh_terms: D000293:Adolescent; D001490:Basketball / Q000293:injuries*; D001753:Blast Injuries / Q000150:complications*; D005107:Explosions; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D012167:Retinal Perforations / Q000209:etiology*