Macular hole following contusion syndrome

Macular hole following contusion syndrome

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A young 15 year old boy was brought to the Knife Racks emergency department of ophthalmology after he have had an acute accident during a tennis game , the ball accidently heat him in her left eye resulting palpebral edema and decreased visual acuity.In the emergency room, the ophthalmic exam found visual acuity in the left eye at 1/20 and loss of near acuity, 10/10 in the right eye and anterior segment unremarkable.The fundus of the eye reached found a macular hole well defined with diffuse berlin edema (A).The OCT a 489 micrometer stage 3 macular hole (B).The patient was placed in short-term corticoid treatment and controlled one week later, the visual acuity rises to 2/10.

One month later a regular exam demonstrate a stable visual acuity at 2/10 but a much bigger macular hole on the fundus (C) and respectively in the OCT the diameter rises to 1155 micrometer, stage 4 Lift Door / Counter Dishwashers (D).Macular holes can be treated with surgery through a procedure called a vitrectomy.The operation is done to remove the vitreous jelly and additional tissue that may be keeping the macular hole open.At surgery, the eye is filled with a special gas that stays in the eye and slowly dissolves over a few weeks.The gas forms an air bubble that gently presses on the hole and encourages new tissue to close the hole.

Non-treated macular holes stabilize with vision of about 20/200.