Spontaneous closure of a large traumatic macular hole in a young patient.

Abstract

To report the spontaneous resolution of a traumatic macular hole that was considerably larger than in previously reported cases. Observational case report. The clinical and angiographic data of the patient were reviewed. A traumatic 600 x 400 micro macular hole was observed to spontaneously resolve 5 weeks after trauma in a 15-year-old patient. Visual acuity only slightly improved consequently (from counting fingers at 4 meters to 20/200). The clinical appearance of the fovea after macular hole resolution raised the suggestion that a postconcussion retinal necrosis was the mechanism behind the lesion formation in this case. Spontaneous resolution of a traumatic macular hole is an outcome not limited to small lesions. Larger macular holes may represent retinal tissue loss and consequently a less favorable visual prognosis.