SURGICAL-TREATMENT OF TRAUMATIC MACULAR H OLES

Background Macular hole is a rare complication of blunt ocular trauma. Little is known about its spontaneous course and only a few operated cases have been reported. Method We present five cases of post-traumat ic macular holes, 4 of which have been operated on. Results In one cas e, the hole sealed spontaneously due to the formation of a slightly co ntractile epimacular membrane, and visual acuity improved from 0.1 to 0.5. The other four cases underwent vitrectomy, posterior hyaloid stri pping, fluid-gas exchange and 12 days of postoperative positioning. In addition, two of these cases had autologous platelet injection. The m acular hole closed in 3 of the 4 cases and vision improved in two. Con clusion Traumatic macular holes can close spontaneously, although this is rare. Usually, surgery with or without healing adjuvants is needed to close the hole. Visual results may be good if there is no damage t o the subfoveal retinal pigment epithelium or to Bruch's membrane.