Spontaneous Closure of Traumatic Macular Hole

Spontaneous closure of pediatric traumatic macular hole: case report and spectral-domain OCT follow-up

“…The third explanation was not applicable to the patient because there was no evidence of vitreoretinal traction, and the vitreous body remained attached throughout the follow-up period. Common features between this patient and the patients with spontaneous closure of TMH described in the literature were the young age, the small size of the macular hole, and the failure of a posterior hyaloid detachment (1) . The relatively higher rate of spontaneous closure of TMH (10-66% in adults) (1,2) may be explained by an adherent posterior vitreous membrane (5) and the absence of permanent traction from an epiretinal membrane compared to idiopathic macular holes (6) .…”

“…Spontaneous closure of a TMH is reported to occur in 10-66% of cases in adults (1,2) . The adhesion of posterior hyaloid to the ILM is strong in children and young adolescents (3) .…”

Management of traumatic macular holes: case report

“…If the TMH has no vitreous adhesion to the edges of the hole (the posterior vitreous is still detached from the posterior pole) the possibility of spontaneous resolution is low (14,20) . Additionally, retinal pigment epithelium abnormalities close to the TMH are a common finding in these eyes and would not be a contraindication for surgery (14,20) . Furthermore, it is known that surgical repair may be beneficial to some TMH eyes.…”

“…Several retrospective case series have shown positive outcomes of pars plana vitrectomy for TMH (3,(5)(6)(7)(8)(9)(10)(11) . On the other hand, many cases of spontaneous closure of TMH have been reported in the literature (12)(13)(14)(15)(16)(17)(18)(19) . We report 2 cases of TMH with different treatment approaches and discuss the management of TMH.…”

Spontaneous closure of stage III and IV idiopathic full-thickness macular holes—a two-case report

“…The spontaneous closure of traumatic macular holes has been described as a common event by several different authors [2,9,13,14,[22][23][24]. Before the optical coherence tomography (OCT) era, the spontaneous closure of full-thickness idiopathic macular holes was also reported to happen in 5-6% of cases [5,25].…”