Open AccessMicroperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution
Author(s) -
Lalit Aalok,
Rajvardhan Azad,
Yog Raj Sharma,
Swati Phuljhele
Publication year - 2012
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.91353
Subject(s) - macular hole , microperimetry , medicine , optical coherence tomography , ophthalmology , retinal detachment , maculopathy , posterior vitreous detachment , optometry , vitrectomy , visual acuity , retinopathy , retinal , diabetes mellitus , endocrinology
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.