Original ArticlesPROGRESSION OF TRAUMATIC LAMELLAR MACULAR HOLE TO FULL-THICKNESS MACULAR HOLE AND RETINAL DETACHMENT IN A 3-YEAR-OLD CHILDTsui, Irena MD; Campolattaro, Brian N. MD; Lopez, Robert MD Author Information From the Edward S. Harkness Eye Institute, Columbia University Medical Center, New York, New York. Reprint requests: Robert Lopez, MD, 635 West 165th Street, New York, NY 10032; e-mail: [email protected] Retinal Cases & Brief Reports: Winter 2010 - Volume 4 - Issue 1 - p 25-27 doi: 10.1097/ICB.0b013e31818e6ef8 Buy Metrics AbstractIn Brief Background: Traumatic macular holes in children are uncommon, and retinal detachment from a macular hole is even more uncommon because the vitreous is formed. Methods: Interventional case report. Results: A 3-year-old boy presented after trauma with a lamellar macular hole in his left eye. Over the next month, progression to a full-thickness macular hole with epiretinal membrane and then subsequent retinal detachment was documented with high-resolution optical coherence tomography. The patient underwent a pars plana vitrectomy, membrane peel, and perfluoropropane tamponade. Six months after surgery, the hole remained anatomically closed, and visual acuity was 20/20. Conclusion: Retinal detachment after a traumatic macular hole in this child was because of hyaloidal traction and epiretinal membrane contraction. Pars plana vitrectomy with surgical peeling of the epiretinal membrane and internal limiting membrane enabled the macular hole to close and the retina to reattach. Retinal detachment after a traumatic macular hole in this child was because of hyaloidal traction and epiretinal membrane contraction. Pars plana vitrectomy with surgical peeling of the epiretinal membrane and internal limiting membrane enabled the macular hole to close and the retina to reattach. © 2010 Ophthalmic Communications Society, Inc.
