[Surgical treatment of traumatic macular holes].

PURPOSE

To review the anatomic and visual outcomes of patients with traumatic macular hole, who underwent vitreoretinal surgery with membrane limitans interna (MLI) removal and using autologous serum.

METHODS

The retrospective review consists of 6 eyes of 6 patients with traumatic macular hole, who underwent pars plana vitrectomy with the removal MLI and with using autologous serum. This study includes 4 male and 2 female. Ages ranged from 10 to 34 years and all patients underwent surgery between February 1997 to October 2000. The time between the injury and surgery ranged from 3 days to 3 months. The aetiollogy was 5-times blunt trauma with ball during field games and once it was shot injury. The initial visual acuity and campimetry were recived and anatomical, functional results and campimetry every 3 months after surgery were reviewed.

RESULTS

Anatomical closure of the macular hole was achieved in 4 (66.6%) of the eyes (in 1 eye the closure was with pigmented scar). Two patients who have a persistent macular hole, underwent this surgery 2 or 3 months after injury. In all 4 eyes with anatomic closure of the macular hole was reduction of central scotoma. Postoperative Snellen visual acuity improved 3 or mole lines in the 2 eyes.

CONCLUSION

Our results suggest that the period between injury and vitreoretinal surgery is very important for final anatomical and functional results after traumatic macular hole.