Traumatic Macular Hole Surgery

Overview

Purpose:
To review the anatomic and visual outcomes of patients with traumaticmacular hole, who underwent vitreoretinal surgery with membrana limitansinterna (MLI) removal and using autologous serum.Methods: The retrospective review consists of 6 eyes of 6 patients with traumaticmacular hole, who underwent pars plana vitrectomy with the removal MLI andwith using autologous serum. This studyincludes 4 male and2 female. Agesrangedfrom 10 to 34 years and all patients underwent surgery between Februar 1997 toOctober 2000. The time between the injury and surgery ranged from 3 days to 3months. The aetiollogy was 5 - times blunt trauma with ball during field gamesand once it was shot injury. The initial visual acuity and campimetry were reviedand anatomical, functional results and campimetry every 3 months after surgerywere reviewed.Results: Anatomical closure of the macular hole wasachieved in4 (66,6 %) of the eyes(in 1 eye the closure was with pigmented scar). Two patients who have a persistentmacular hole, underwent this surgery 2 or 3 months after injury. In all 4 eyes withanatomic closure of the macular hole was reduction of central scotoma. Postoperative Snellen visual acuity improved 3 or mole lines in the 2 eyes.Conclusion: Our results suggest that the period between injury and vitreoretinalsurgery is very important for final anatomical and functional results after traumatic macular hole.

Key words:
traumatic macular hole, pars plana vitrectomy