Erschienen in:
Open Access
01.12.2011 | Case report
Spontaneous traumatic macular hole closure in a 50-year-old woman: a case report
verfasst von:
Mayssa B Nasr, Chrysanthos Symeonidis, Ioannis Tsinopoulos, Sofia Androudi, Tryfon Rotsos, Stavros A Dimitrakos
Erschienen in:
Journal of Medical Case Reports
|
Ausgabe 1/2011
Abstract
Introduction
Traumatic macular holes (TMH) are well-known complications of ocular contusion injury. Spontaneous closure occurs in approximately 50% of cases, but rarely after the age of thirty. We report a case of spontaneous closure of a full thickness macular hole due to a blunt trauma and we suggest possible mechanisms for this closure.
Case presentation
A 50-year-old Greek woman was referred with a history of reduced best-corrected visual acuity after blunt trauma to her right eye. Diagnosis was based on fundoscopic, optical coherence tomography as well as fluorescein angiography findings with follow-up visits at two days, 20 days and five months. Fundoscopy revealed a full-thickness TMH with a minor sub-retinal hemorrhage and posterior vitreous detachment. The presence of a coagulum in the TMH base was observed. Subsequently, TMH closure was observed.
Conclusion
The clot in the TMH base, potentially a hemorrhage by-product containing a significant quantity of platelets, may have simulated the clot observed after autologous serum use, thus facilitating a similar effect. This may have stimulated glial cell migration and proliferation, thus contributing to spontaneous hole closure.