Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution
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 documentatio...
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Wolters Kluwer Medknow Publications
2012-01-01
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Series: | Indian Journal of Ophthalmology |
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Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=66;epage=68;aulast=Aalok |
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author | Lalit Aalok Rajvardhan Azad Yog R Sharma Swati Phuljhele |
author_facet | Lalit Aalok Rajvardhan Azad Yog R Sharma Swati Phuljhele |
author_sort | Lalit Aalok |
collection | DOAJ |
description | 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. |
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issn | 0301-4738 1998-3689 |
language | English |
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publishDate | 2012-01-01 |
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spelling | doaj.art-be8703f1a050404499be5187a1820cf32022-12-21T19:13:27ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892012-01-01601666810.4103/0301-4738.91353Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolutionLalit AalokRajvardhan AzadYog R SharmaSwati PhuljheleThe 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=66;epage=68;aulast=AalokBand-shaped keratopathycorneal dystrophyphototherapeutic keratectomyphototherapeutic keratectomy with amniotic membrane graftsscarand Salzmann nodular degenerationKaplan Meier survival analysismultivariate Cox Proportional Hazard Regression analysisoptical penetrating keratoplastiesMyopiaphakic refractive intraocular lensrefractive surgery23-Gauge vitrectomyrhegmatogenous retinal detachmentsutureless vitrectomyDeep anterior lamellar keratoplastyendothelial cell densitykeratoconuspenetrating keratoplastyAnterior chamber contaminationcataract surgeryconjunctival floradiabeticsCardiovascular diseasediabetesdiabetic retinopathyframingham risk scoreCentral macular thicknessmultifocal electroretinogramnormative databaseoptical coherence tomographyMacular microholemicroperimetryspectral domain optical coherence tomographyAge-related macular degenerationchoroidal neovascularizationphotodynamic therapyvitreous tractionDescemet membrane endothelial keratoplasty with a stromal rimendothelial keratoplastyposterior lamellar keratoplastyposterior polymorphous corneal dystrophyIndocyanine green angiogramintravitreal bevacizumablaser photocoagulationperipheral hemorrhagic exudative chorioretinopathypolypoidal choroidal vasculopathyAnterior segment optical coherence tomographyB-scan ultrasonographyphacoceleultrasound biomicroscopyMicroperimetryoptical coherence tomographyretinal detachmentspontaneous resolutiontraumatic macular hole |
spellingShingle | Lalit Aalok Rajvardhan Azad Yog R Sharma Swati Phuljhele Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution Indian Journal of Ophthalmology Band-shaped keratopathy corneal dystrophy phototherapeutic keratectomy phototherapeutic keratectomy with amniotic membrane grafts scar and Salzmann nodular degeneration Kaplan Meier survival analysis multivariate Cox Proportional Hazard Regression analysis optical penetrating keratoplasties Myopia phakic refractive intraocular lens refractive surgery 23-Gauge vitrectomy rhegmatogenous retinal detachment sutureless vitrectomy Deep anterior lamellar keratoplasty endothelial cell density keratoconus penetrating keratoplasty Anterior chamber contamination cataract surgery conjunctival flora diabetics Cardiovascular disease diabetes diabetic retinopathy framingham risk score Central macular thickness multifocal electroretinogram normative database optical coherence tomography Macular microhole microperimetry spectral domain optical coherence tomography Age-related macular degeneration choroidal neovascularization photodynamic therapy vitreous traction Descemet membrane endothelial keratoplasty with a stromal rim endothelial keratoplasty posterior lamellar keratoplasty posterior polymorphous corneal dystrophy Indocyanine green angiogram intravitreal bevacizumab laser photocoagulation peripheral hemorrhagic exudative chorioretinopathy polypoidal choroidal vasculopathy Anterior segment optical coherence tomography B-scan ultrasonography phacocele ultrasound biomicroscopy Microperimetry optical coherence tomography retinal detachment spontaneous resolution traumatic macular hole |
title | Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution |
title_full | Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution |
title_fullStr | Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution |
title_full_unstemmed | Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution |
title_short | Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution |
title_sort | microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution |
topic | Band-shaped keratopathy corneal dystrophy phototherapeutic keratectomy phototherapeutic keratectomy with amniotic membrane grafts scar and Salzmann nodular degeneration Kaplan Meier survival analysis multivariate Cox Proportional Hazard Regression analysis optical penetrating keratoplasties Myopia phakic refractive intraocular lens refractive surgery 23-Gauge vitrectomy rhegmatogenous retinal detachment sutureless vitrectomy Deep anterior lamellar keratoplasty endothelial cell density keratoconus penetrating keratoplasty Anterior chamber contamination cataract surgery conjunctival flora diabetics Cardiovascular disease diabetes diabetic retinopathy framingham risk score Central macular thickness multifocal electroretinogram normative database optical coherence tomography Macular microhole microperimetry spectral domain optical coherence tomography Age-related macular degeneration choroidal neovascularization photodynamic therapy vitreous traction Descemet membrane endothelial keratoplasty with a stromal rim endothelial keratoplasty posterior lamellar keratoplasty posterior polymorphous corneal dystrophy Indocyanine green angiogram intravitreal bevacizumab laser photocoagulation peripheral hemorrhagic exudative chorioretinopathy polypoidal choroidal vasculopathy Anterior segment optical coherence tomography B-scan ultrasonography phacocele ultrasound biomicroscopy Microperimetry optical coherence tomography retinal detachment spontaneous resolution traumatic macular hole |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=66;epage=68;aulast=Aalok |
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