Management of traumatic macular holes: case report

Arquivos Brasileiros de Oftalmologia

Oswaldo Ferreira Moura Brasil²  Oswaldo Moura Brasil¹ 

[1] ,Instituto Brasileiro de OftalmologiaRio de Janeiro,Brasil

关键词: Macula lutea;    Macula lutea;    Eye injuries;    Visual acuity;    Tomography optical coherence;    Human;    Female;    Male;    Child;    Adult;    Case reports;    Mácula lútea;    Mácula lútea;    Traumatismos oculares;    Acuidade visual;    Tomografia de coerência óptica;    Humano;    Feminino;    Masculino;    Criança;    Adulto;    Relatos de casos;   

DOI  :  10.1590/S0004-27492008000400022

来源: SciELO

【 摘 要 】

Traumatic macular hole is a disease whose pathogenesis is not fully understood and the best treatment guideline is controversial. We report 2 cases of traumatic macular hole with different treatment approaches. In the first case, a 9-year-old boy presented with a traumatic macular hole secondary to blunt ocular trauma with a stone, and initial vision of 20/300. He underwent surgical repair and his final vision was 20/70 with hole closure after a 1 year follow-up. In the second case, a 20-year-old woman suffered a penetrating bullet wound on the left side of her forehead. The injury caused optic nerve head avulsion in the left eye with loss of light perception. The right eye had a traumatic macular hole and signs suggestive of sclopetaria chorioretinitis, with 20/60 vision. This case was initially observed and vision improved to 20/30 with reduction of the hole diameter. Vision and hole diameter remained stable after 8 months.

【 授权许可】

CC BY   
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