Spontaneous closure of macular hole following blunt trauma

Freitas-Neto, Clovis Arcoverde; Pigosso, Douglas; Pacheco, Kátia D.; Pereira, Valdeniza Delmondes; Patel, Pranav; Freitas, Luiz Guilherme Azevedo de; Ávila, Marcos Pereira de

doi:10.4103/0974-620x.184530

Cited by 3 publications

(6 citation statements)

References 9 publications

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“…1 Visual recovery is variable as it depends upon the period for which macular hole was present till its closure and the associated photoreceptor damage at the fovea, during the reapposition of the inner and outer retinal layer. 5 In our case, closure can be attributed due to posterior vitreous detachment after cataract surgery. 6 The case highlights that small diameter MH can resolve without any retinal surgical intervention with a posterior vitreous separation.…”

Section: Discussionmentioning

confidence: 57%

Spontaneous closure of stage 2 macular hole after cataract surgery

Dhami¹,

Dhami²,

Dhami³

2020

AOVS

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We report a case of 64-year-old female, presented with decreased vision in left eye, for 3 months. Her vision was 20/30, N6 in right eye and 20/200 and N36 in left eye. She had nuclear sclerosis grade 2 and optical coherence tomography showed stage-2 macular hole in left eye. The macular hole diameter was 286 microns and the basal dimeter of 486 microns. The patient underwent cataract surgery with intraocular lens implantation in left eye. At 1 month, an inner retinal layer apposition was noted with subsequent inner to outer retinal apposition, resulting in complete spontaneous closure at the 3rd month follow up with visual acuity gain of 20/40, N8. This case highlights that stage-2 macular hole can close spontaneously with relief of vitreomacular traction.

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Section: Discussionmentioning

confidence: 57%

Spontaneous closure of stage 2 macular hole after cataract surgery

Dhami¹,

Dhami²,

Dhami³

2020

AOVS

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“…[20][21][22] In the setting of trauma, it is unknown whether the MHs were typical traumatic MHs or whether the subretinal hemorrhage contributed to MH formation. [20][21][22] Recently Pereira et al 23 described a patient with pathologic myopia, posterior staphyloma, and baseline myopic macular schisis who developed a myopic CNVM associated with the occurrence of a small, full-thickness MH. In that case, the anteroposterior traction from the staphyloma, along with weakened foveal integrity in the setting of myopic macular foveoschisis, may have contributed to foveal dehiscence and MH formation from the CNVM.…”

Section: Discussionmentioning

confidence: 99%

“…The management of the concurrent subretinal hemorrhage and MH in previously reported cases such as RAM or trauma was based on the specific clinical and anatomic features and included observation, 22 pneumatic (C 3 F 8 ) displacement of the submacular hemorrhage and prone positioning, 20 and PPV with ILM peeling (± inverted ILM flap) for the MH ± subretinal injection of recombinant tissue plasminogen injection for the submacular hemorrhage and gas tamponade. 18,19,21 In each of these cases, the subretinal hemorrhage resolved 22 or was effectively displaced, [18][19][20][21] and the MH closed. [18][19][20][21] In the case reported here, given the absence of notable preexisting tractional forces, it is possible that treatment of the underlying wet AMD could have allowed sufficient hemorrhage and subretinal fluid resolution to reappose the retinal edges and achieve MH closure.…”

Section: Discussionmentioning

confidence: 99%

“…17 MHs have been reported in conjunction with other conditions causing subretinal hemorrhages, such as retinal arterial microaneurysms (RAMs) 18,19 and trauma. 20 –22 In the setting of trauma, it is unknown whether the MHs were typical traumatic MHs or whether the subretinal hemorrhage contributed to MH formation. 20 –22…”

Section: Discussionmentioning

confidence: 99%

“…20 –22 In the setting of trauma, it is unknown whether the MHs were typical traumatic MHs or whether the subretinal hemorrhage contributed to MH formation. 20 –22…”

Section: Discussionmentioning

confidence: 99%

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Full-Thickness Macular Hole Caused by Acute Subretinal Hemorrhage From Wet Age-Related Macular Degeneration

Gupta,

Lean

2023

Journal of VitreoRetinal Diseases

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Purpose: To present a case of full-thickness macular hole (MH) that developed in association with acute subretinal hemorrhage from wet age-related macular degeneration (AMD). Methods: A retrospective observational review of a single case was performed. Results: An 84-year-old man with wet AMD presented with central vision loss and floaters and was noted to have a subretinal hemorrhage and an associated MH, which subsequently progressed to MH-associated macular detachment. The patient had a pars plana vitrectomy with internal limiting membrane peeling, gas tamponade, and prone positioning, resulting in closure of the MH and improvement in visual acuity. Conclusions: A full-thickness MH developed as a result of foveal dehiscence from an acute hemorrhage caused by choroidal neovascularization in wet AMD.

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Spontaneous closure of macular holes in children

Katargina,

Denisova,

Demchenko

et al. 2024

Russian Pediatric Ophthalmology

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AIM: This study aimed to analyze clinical cases of spontaneous macular hole (MH) closure in children and determine the optimal approach for managing patients with this disease. MATERIAL AND METHODS: Data from 32 patients aged 6–17 years (average: 11.3 years) were evaluated, including 32 eyes with a full thickness macular hole and 1 eye with a lamellar macular hole. All patients were treated in the Department of Pediatric Ocular Pathology of the Helmholtz National Medical Research Center of Eye Diseases in 2013–2023. They underwent a comprehensive ophthalmological examination, including optical coherence tomography (OCT) of the macular area. RESULTS: Spontaneous MH closure was observed in five eyes (15.2%) of five patients (15.6%). The etiological factor of the disease was ocular contusion in two cases, photodamage in one case, and an inflammatory process in the posterior segment of the eye in two cases. A small diameter MH (100–261 µm) and its overgrowth soon after formation were common to all patients, that is, less than 2 months in 3 of 5 children and within 6 months in all patients. CONCLUSION: Spontaneous closure of MH with a small diameter and in the early stages after its formation is rare in pediatric patients. For MH with a diameter of up to 200 µm according to OCT and the absence of other indications for surgical treatment, a wait-and-see approach for 3 months with regular (once a month) examination is recommended. In cases with MH closure tendency, continued follow-up is crucial; if it persists after 3 months or increases at any period of follow-up, surgical treatment is indicated.

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Spontaneous closure of macular hole following blunt trauma

Abstract: Ocular trauma can result in macular hole and it can lead to complete loss of central vision. We are reporting a case of traumatic macular hole associated with retinal hemorrhages and choroidal ruptures with spontaneous resolution and total vision recovery.

Cited by 3 publications

References 9 publications

Spontaneous closure of stage 2 macular hole after cataract surgery

Spontaneous closure of stage 2 macular hole after cataract surgery

Full-Thickness Macular Hole Caused by Acute Subretinal Hemorrhage From Wet Age-Related Macular Degeneration

Spontaneous closure of macular holes in children

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