Dr.PRASENJIT KALITA
MACULAR HOLE IS A KNOWN COMPLICATION FOLLOWING OCULAR TRAUMA.POST TRAUMATIC MACULAR HOLE MAY BE DUE TO VITREOMACULAR TRACTION,SUBFOVEAL HAEMORRHAGE OR BY PHYSICAL RESPONSE TO INJURY.
A 38 YEAR OLD MAN PRESENTED WITH A HISTORY OF BLUNT TRAUMA TO LEFT EYE BY A PIECE OF IRON ON 13/1/17.EYE EVALUATION SHOWS BEST CORRECTED VISUAL ACUITY 4/60 AND FUNDOSCOPIC EXAMINATION SHOWS DIFFUSE RETINAL EDEMA IN THE LEFT EYE.AFTER 2 WEEK HE DEVELOPED FULL THICKNESS MACULAR HOLE AND CONFIRMED BY OCT.NO INTERVENTION WAS DONE.VISUAL ACUITY IMPROVED GRADUALLY IN FOLLOW UP VISITS & AT 3 MONTHS , VISUAL ACUITY WAS 6/9.
SO,THERE MAY BE SPONTANEOUS CLOSURE OF TRAUMATIC MACULAR HOLE AND OBSERVATION CAN BE THE TREATMENT OF CHOICE.
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