Progression of traumatic lamellar macular hole to full-thickness macular hole and retinal detachment in a 3-year-old child.
BACKGROUND
Traumatic macular holes in children are uncommon, and retinal detachment from a macular hole is even more uncommon because the vitreous is formed.


METHODS
Interventional case report.


RESULTS
A 3-year-old boy presented after trauma with a lamellar macular hole in his left eye. Over the next month, progression to a full-thickness macular hole with epiretinal membrane and then subsequent retinal detachment was documented with high-resolution optical coherence tomography. The patient underwent a pars plana vitrectomy, membrane peel, and perfluoropropane tamponade. Six months after surgery, the hole remained anatomically closed, and visual acuity was 20/20.


CONCLUSIONS
Retinal detachment after a traumatic macular hole in this child was because of hyaloidal traction and epiretinal membrane contraction. Pars plana vitrectomy with surgical peeling of the epiretinal membrane and internal limiting membrane enabled the macular hole to close and the retina to reattach.
From the Edward S. Harkness Eye Institute, Columbia University Medical Center, New York, New York.
Irena
I
Tsui
Brian N
BN
Campolattaro
Robert
R
Lopez