Management of Pediatric Traumatic Macular Holes – Case Report
A 12-year-old boy presented with sudden unilateral visual loss following a blunt trauma with a bottle cork in a mildly amblyopic left eye. At presentation, the initial visual acuity (iVA) was hand motion in the left eye and 20/20 in the right eye. Anterior segment examination revealed hyphema, corneal edema and red fundus reflex absence. The patient underwent an ocular ultrasound which excluded the presence of a retinal detachment. Eight days later the child was reassessed: no hyphema was identified, visual acuity (VA) remained hand motion and a macular hole was detected on fundus biomicroscopy (fig. ). An OCT was performed which confirmed a full-thickness macular hole (fig. ) with posterior vitreous attachment. One day later the patient underwent surgery as described above. One month after surgery, the OCT confirmed closure of the macular hole and VA had improved to 20/50, which remained stable until the end of the follow-up.