title: [Traumatic macular hole with central retinal detachment and choroidal rupture with ora serrata dialysis].
abstract: BACKGROUND
  Closed ocular trauma is associated with various retinal complications, such as Berlin's edema, peripheral retinal tears, retinal hemorrhage, choroidal rupture, subretinal bleeding and macular holes. Traumatic macular holes (TMH) are rare and surgical intervention is controversial due to possible spontaneous closure.
  
  
  METHODS
  The positive development in the patient described here indicates that a pars plana vitrectomy with drainage of subretinal hemorrage combined with peeling of the internal limiting membrane (ILM) for a penetrating traumatic macular hole with choroidal rupture can lead to the restoration of visual acuity. The anti-vascular endothelial growth factor (VEGF) therapy (under silicone oil with avastin 0.02 ml) can successfully lead to limitation of posttraumatic choroidal neovascularization (CNV).
  
  
  CONCLUSIONS
  Patients with ocular contusion require extensive long-term ophthalmological follow-up. Furthermore, prevention, education and information is essential to prevent serious injuries.
authors.affiliation: Klinik für Augenheilkunde, Universitätsklinikum des Saarlandes UKS, Kirrberger Str. 100, Gebäude 22, 66424, Homburg/Saar, Deutschland, miltiadis.fiorentzis@uks.eu.
authors.forename: M
authors.initials: M
authors.lastname: Fiorentzis
authors.forename: B
authors.initials: B
authors.lastname: Seitz
authors.forename: A
authors.initials: A
authors.lastname: Viestenz
mesh_terms: D000328:Adult; D002829:Choroid / Q000293:injuries* / Q000473:pathology; D003937:Diagnosis, Differential; D005131:Eye Injuries / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000175:diagnosis* / Q000628:therapy*; D012167:Retinal Perforations / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome