Traumatic macular hole

Johnson, Robert N.; McDonald, H. Richard; Lewis, Hilel; Grand, M. Gilbert; Murray, Timothy G.; Mieler, William F.; Johnson, Mark W.; Boldt, H. Culver; Olsen, Karl R.; Tornambe, Paul E.; Folk, James C.

doi:10.1016/s0161-6420(00)00650-3

Cited by 127 publications

(55 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study of 20 patients with TMHs, posterior vitreous detachment (PVD) was found in only three eyes (15%), and the vitreous was detached from the macula in only one (5%) 6. Among another 25 patients with TMHs, 84% had attached posterior vitreous at the time of vitrectomy 13. Both of these studies had a statistically significant different PVD rate than ours (Fisher exact test p =0.01 and p =0.006, respectively).…”

Section: Discussioncontrasting

confidence: 55%

Classification of Full-Thickness Traumatic Macular Holes by Optical Coherence Tomography

Huang¹,

Xing²,

Wu³

et al. 2009

Retina

View full text Add to dashboard Cite

Purpose To describe morphological features of traumatic macular holes (TMH) on optical coherence tomography (OCT) and to correlate them with clinical findings. Methods Seventy-three consecutive patients diagnosed with full-thickness TMH involving the fovea underwent complete ophthalmic evaluation followed by horizontal and vertical line scans using the StratusOCT. Retinal thickness at the edges of the holes, apical and basal diameters, and various clinical parameters were recorded. The approximate apical and basal areas and eccentricities of the holes were calculated. Morphological parameters were correlated with clinical findings. Results Based on OCT findings, TMHs were classified into 5 morphological types with varying average retinal thicknesses, apical areas, and basal areas. Patients who presented more than 90 days after injury had greater average retinal thickness (p=0.03) and apex areas (p=0.002) compared to those who presented within 90 days. Older patients developed more circular holes, i.e. less eccentricity of the apex (p=0.04) and base (p=0.01). Interestingly, none of the morphological parameters investigated in the current study correlated with visual acuity. Patients who presented later in the clinical course or who had greater average retinal thicknesses tended to have better vision (p=0.11 and p=0.07, respectively). Conclusions OCT evaluation may yield important insights into the pathogenesis and clinical findings of traumatic macular holes.

show abstract

Section: Discussioncontrasting

confidence: 55%

Classification of Full-Thickness Traumatic Macular Holes by Optical Coherence Tomography

Huang¹,

Xing²,

Wu³

et al. 2009

Retina

View full text Add to dashboard Cite

show abstract

“…[25] Most eyes with a traumatic MH have an attached vitreous. [6–8] OCT imaging corroborates this finding lending credence to the belief that the pathogenesis of MH is independent of the occurrence of a posterior vitreous detachment (PVD) and occurs likely as an immediate mechanical disruption in a coup contrecoup injury. [79] Delayed MH may however develop if PVD is incomplete, causing continued foveal traction, or due to contusion necrosis, or consequent to the formation and rupture of a foveal cyst.…”

Section: Discussionsupporting

confidence: 54%

Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution

Aalok

Azad

Sharma

et al. 2012

Indian J Ophthalmol

View full text Add to dashboard Cite

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.

show abstract

“…In support to our finding, Johnson and coworkers reported that 84% of eyes in their series of traumatic MH had attached posterior hyaloid that was detached intraoperative. 4 …”

Section: Discussionmentioning

confidence: 99%

“…15 Robert Johnson et al combined the previous reports of traumatic macular holes, 81 eyes have been reported, of which successful closure of the hole after 1 vitrectomy surgery occurred in 67 cases (83%). 4 …”

Section: Introductionmentioning

confidence: 99%