Traumatic macular hole-related retinal detachment in an emmetropic eye successfully treated with vitrectomy.
OBJECTIVE
The authors report a case of retinal detachment in an emmetropic eye secondary to development of a traumatic macular hole treated by removal of the internal limiting membrane (ILM) with a good visual outcome.


METHODS
A 13-year-old boy was hit in his left eye by a football. The best-corrected visual acuity (BCVA) of the left eye was 20/40. A traumatic macular hole was present without posterior vitreous detachment. A retinal detachment secondary to a traumatic macular hole developed and BCVA decreased to 20/60 6 weeks after the injury Because the retinal detachment became more extensive 3 months after the injury, vitreous surgery was performed with creation of a posterior vitreous separation, followed by removal of the ILM surrounding the macular hole using 0.5% indocyanine green stain. Fluid-air exchange was performed followed by 20% SF6 gas tamponade.


RESULTS
The retina was reattached and the traumatic macular hole closed. The VA of the left eye improved to 20/30 1 month postoperatively. No serious complications occurred during follow-up.


CONCLUSIONS
Vitreous surgery with removal of the ILM appears to be a useful technique for treating traumatic macular holes with retinal detachments in emmetropic eyes and could achieve good visual outcomes in some cases.
From the Department of Ophthalmology, Shiga University of Medical Science, Shiga, Japan.
Yoko
Y
Ebihara
Akira
A
Okada
Masashi
M
Kakinoki
Masahiro
M
Ishii
Masahito
M
Ohji