Case Study: Spontaneous Closure of Traumatic Macular Hole in a Paediatric Patient

Background: A macular hole is a full-thickness retinal defect in the central macula. It is believed to be caused by vitreoretinal mechanical forces and is described as a traumatic macular hole if trauma causes these forces. Case Report: We describe a case of a traumatic macular hole in a 12-year-old boy after blunt trauma with a football in the right eye. The patient was followed up regularly with serial OCT, showing closure of the macular hole without intervention. Conclusion: Observation of a paediatric traumatic macular hole is a viable initial treatment option. Serial OCT imaging was useful in observing the natural history and mechanism behind spontaneous closure in this case.

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Publication Details

Journal
Open Journal of Ophthalmology
Published
2025-01-01
DOI
https://doi.org/10.4236/ojoph.2025.152007
Primary Topic
Retinal and Macular Surgery
Type
article
Field-Weighted Citation Impact
0.00
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OCT
article

Case Study: Spontaneous Closure of Traumatic Macular Hole in a Paediatric Patient

S. Azzopardi
Open Journal of Ophthalmology
Retinal and Macular Surgery
article

Case Study: Spontaneous Closure of Traumatic Macular Hole in a Paediatric Patient

S. Azzopardi
article en

Abstract

Background: A macular hole is a full-thickness retinal defect in the central macula. It is believed to be caused by vitreoretinal mechanical forces and is described as a traumatic macular hole if trauma causes these forces. Case Report: We describe a case of a traumatic macular hole in a 12-year-old boy after blunt trauma with a football in the right eye. The patient was followed up regularly with serial OCT, showing closure of the macular hole without intervention. Conclusion: Observation of a paediatric traumatic macular hole is a viable initial treatment option. Serial OCT imaging was useful in observing the natural history and mechanism behind spontaneous closure in this case.

Open Journal of OphthalmologyVol. 15(02)
Mater Dei Hospital (MT)
Openalex Percentile: Top 84%
Retinal and Macular Surgery
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