Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up
Objective: To report a case of delayed spontaneous closure of traumatic macular hole at 5 months in a 66-year-old man. Traumatic macular holes generally do not close spontaneously after 4 months and over 3ears of age.Methods: A 66-year-old man presented with central blurred vision and metamorphopsia...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
German Medical Science GMS Publishing House
2020-08-01
|
| Series: | GMS Ophthalmology Cases |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/oc/2020-10/oc000168.shtml |
| _version_ | 1818505347318415360 |
|---|---|
| author | Grassi, Piergiacomo Salicone, Alberto |
| author_facet | Grassi, Piergiacomo Salicone, Alberto |
| author_sort | Grassi, Piergiacomo |
| collection | DOAJ |
| description | Objective: To report a case of delayed spontaneous closure of traumatic macular hole at 5 months in a 66-year-old man. Traumatic macular holes generally do not close spontaneously after 4 months and over 3ears of age.Methods: A 66-year-old man presented with central blurred vision and metamorphopsia in his right eye for 3 weeks after previous ocular blunt trauma occurring 2 months earlier. Best corrected visual acuity was 6/36 in his right eye, fundus examination and OCT revealed right traumatic macular hole.Results: 4 weeks later, best corrected visual acuity was 6/18, OCT showed initial reattachment of traumatic macular hole margins. 8 weeks later, best corrected visual acuity improved to 6/9, OCT showed almost complete reattachment of the margins, residual outer retinal defect being still present. At 12 weeks after initial presentation, best corrected visual acuity was 6/6, OCT showed normal neuroretinal profile.Conclusion: Clinical monitoring of traumatic macular holes might be performed up to 5 months even in patients >30 years before considering surgery. |
| first_indexed | 2024-12-10T21:49:26Z |
| format | Article |
| id | doaj.art-ce275526766842fa8ec9a45675ac5e88 |
| institution | Directory Open Access Journal |
| issn | 2193-1496 |
| language | English |
| last_indexed | 2024-12-10T21:49:26Z |
| publishDate | 2020-08-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Ophthalmology Cases |
| spelling | doaj.art-ce275526766842fa8ec9a45675ac5e882022-12-22T01:32:15ZengGerman Medical Science GMS Publishing HouseGMS Ophthalmology Cases2193-14962020-08-0110Doc4110.3205/oc000168Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-upGrassi, Piergiacomo0Salicone, Alberto1Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield University Hospitals NHS Foundation Trust, Sheffield, United KingdomUnit of Ophthalmology, San Leonardo Hospital, Castellammare di Stabia NA, ItalyObjective: To report a case of delayed spontaneous closure of traumatic macular hole at 5 months in a 66-year-old man. Traumatic macular holes generally do not close spontaneously after 4 months and over 3ears of age.Methods: A 66-year-old man presented with central blurred vision and metamorphopsia in his right eye for 3 weeks after previous ocular blunt trauma occurring 2 months earlier. Best corrected visual acuity was 6/36 in his right eye, fundus examination and OCT revealed right traumatic macular hole.Results: 4 weeks later, best corrected visual acuity was 6/18, OCT showed initial reattachment of traumatic macular hole margins. 8 weeks later, best corrected visual acuity improved to 6/9, OCT showed almost complete reattachment of the margins, residual outer retinal defect being still present. At 12 weeks after initial presentation, best corrected visual acuity was 6/6, OCT showed normal neuroretinal profile.Conclusion: Clinical monitoring of traumatic macular holes might be performed up to 5 months even in patients >30 years before considering surgery.http://www.egms.de/static/en/journals/oc/2020-10/oc000168.shtmlepiretinal membranemacular holeoptical coherence tomographypars-plana vitrectomyspontaneous closuretraumatic macular hole |
| spellingShingle | Grassi, Piergiacomo Salicone, Alberto Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up GMS Ophthalmology Cases epiretinal membrane macular hole optical coherence tomography pars-plana vitrectomy spontaneous closure traumatic macular hole |
| title | Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up |
| title_full | Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up |
| title_fullStr | Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up |
| title_full_unstemmed | Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up |
| title_short | Delayed spontaneous closure of traumatic macular hole in a 66-year-old patient – role of optical coherence tomography follow-up |
| title_sort | delayed spontaneous closure of traumatic macular hole in a 66 year old patient role of optical coherence tomography follow up |
| topic | epiretinal membrane macular hole optical coherence tomography pars-plana vitrectomy spontaneous closure traumatic macular hole |
| url | http://www.egms.de/static/en/journals/oc/2020-10/oc000168.shtml |
| work_keys_str_mv | AT grassipiergiacomo delayedspontaneousclosureoftraumaticmacularholeina66yearoldpatientroleofopticalcoherencetomographyfollowup AT saliconealberto delayedspontaneousclosureoftraumaticmacularholeina66yearoldpatientroleofopticalcoherencetomographyfollowup |