Progression of traumatic lamellar macular hole to full-thickness macular hole and retinal detachment in a 3-year-old child

Irena Tsui, Brian N. Campolattaro, Robert Lopez

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Traumatic macular holes in children are uncommon, and retinal detachment from a macular hole is even more uncommon because the vitreous is formed. Methods: Interventional case report. Results: A 3-year-old boy presented after trauma with a lamellar macular hole in his left eye. Over the next month, progression to a full-thickness macular hole with epiretinal membrane and then subsequent retinal detachment was documented with high-resolution optical coherence tomography. The patient underwent a pars plana vitrectomy, membrane peel, and perfluoropropane tamponade. Six months after surgery, the hole remained anatomically closed, and visual acuity was 20/20. Conclusion: Retinal detachment after a traumatic macular hole in this child was because of hyaloidal traction and epiretinal membrane contraction. Pars plana vitrectomy with surgical peeling of the epiretinal membrane and internal limiting membrane enabled the macular hole to close and the retina to reattach.

Original languageEnglish
Pages (from-to)25-27
Number of pages3
JournalRetinal Cases and Brief Reports
Volume4
Issue number1
DOIs
StatePublished - Dec 2010
Externally publishedYes

Keywords

  • Amblyopia
  • Child
  • Epiretinal membrane
  • High-resolution optical coherence tomography
  • Intraocular tamponade
  • Macular hole
  • Membrane peel
  • Pars plana vitrectomy
  • Retinal detachment
  • Trauma

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