TY - JOUR
T1 - Delayed, spontaneous conversion of type 2 closure to type 1 closure following surgery for traumatic macular hole associated with submacular hemorrhage
AU - Rishi, Pukhraj
AU - Reddy, Sumanth
AU - Rishi, Ekta
PY - 2012/10
Y1 - 2012/10
N2 - A 45-year-old man presented with diminution of vision in the left eye following a firecracker injury. Best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/125 in the left eye. Fundus examination revealed vitreous hemorrhage, a macular hole, and submacular hemorrhage in the left eye. The patient underwent vitrectomy, tissue plasminogen activator (tPA)-assisted evacuation of the submacular hemorrhage, internal limiting membrane (ILM) peeling, and 14% C3F8 gas insufflation. After two months, the BCVA remained 20/125 and optical coherence tomography (OCT) showed type 2 macular hole closure. On a follow-up, seven months after surgery, BCVA improved to 20/80, N6, with type 1 closure of the macular hole. The clinical findings were confirmed on OCT. Delayed and spontaneous conversion of the traumatic macular hole could occur several months after the primary surgery and may be associated with improved visual outcome. Larger studies are required to better understand the factors implicated in such a phenomenon. Copyright:
AB - A 45-year-old man presented with diminution of vision in the left eye following a firecracker injury. Best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/125 in the left eye. Fundus examination revealed vitreous hemorrhage, a macular hole, and submacular hemorrhage in the left eye. The patient underwent vitrectomy, tissue plasminogen activator (tPA)-assisted evacuation of the submacular hemorrhage, internal limiting membrane (ILM) peeling, and 14% C3F8 gas insufflation. After two months, the BCVA remained 20/125 and optical coherence tomography (OCT) showed type 2 macular hole closure. On a follow-up, seven months after surgery, BCVA improved to 20/80, N6, with type 1 closure of the macular hole. The clinical findings were confirmed on OCT. Delayed and spontaneous conversion of the traumatic macular hole could occur several months after the primary surgery and may be associated with improved visual outcome. Larger studies are required to better understand the factors implicated in such a phenomenon. Copyright:
KW - Internal limiting membrane
KW - macular hole
KW - submacular hemorrhage
KW - tissue plasminogen activator
KW - trauma
KW - vitrectomy
UR - https://www.scopus.com/pages/publications/84873578607
UR - https://www.scopus.com/pages/publications/84873578607#tab=citedBy
U2 - 10.4103/0974-620X.106105
DO - 10.4103/0974-620X.106105
M3 - Article
AN - SCOPUS:84873578607
SN - 0974-620X
VL - 5
SP - 189
EP - 190
JO - Oman Journal of Ophthalmology
JF - Oman Journal of Ophthalmology
IS - 3
ER -