67% to 85% were achieved in adults with traumatic macular hole (MH) by pars plana vitrectomy and gas instillation with or without adjuvants. 1-4 Some reports 5 have described spontaneous closure of traumatic macular holes in children and young adults.The purpose of this report is to describe the long-term clinical course in children following treatment of traumatic macular hole with pars plana vitrectomy and platelet concentrate.Four male pediatric patients underwent pars plana vitrectomy with platelet concentrate and SF6 gas tamponade for traumatic macular hole repair after a blunt trauma.The boys had a mean age of 13.2 years (range, 10 -15 years). A stage 3 macular hole according to Gass with a diameter of at least 300 m was diagnosed in all patients.The mean follow-up was 35.2 months (range, 27-51 months).The surgical technique included a standard three-port pars plana vitrectomy, peeling of the epiretinal membrane including the internal limiting membrane (ILM), injecting a drop of freshly obtained autologous platelet concentrate (4ϫ10 9 thrombocytes/ml) into the macular hole, and instilling 25% SF6 gas (Figure 1). 6 The individual patients are presented in Table 1. The mean interval between the diagnosis and the operation was 3 months (range, 1-5 months).Primary closure was achieved by a single intervention in all patients and all patients had a marked visual improvement of Ն three lines (three to seven lines) after surgery. The surgically achieved visual improvement remained stable during follow-up.
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