Khoramnia R, Mohrenfels C W, Salgado J P, Lanzl I M, Lohmann C P, Mayer C
Augenklinik, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Strasse 22, München, Deutschland.
Ophthalmologe. 2010 Nov;107(11):1063-7. doi: 10.1007/s00347-010-2179-7.
The optimal treatment approach for traumatic macular holes (TMH) is still controversial. We report two cases of spontaneous closure of TMH. In the first patient, closure resulted in an increase in visual acuity from 0.2 to 0.8. In the second case, no increase in visual acuity was detectable despite spontaneous closure of the TMH within a few days after the trauma. This may be explained by an irreversible damage of the photoreceptors and retinal pigment epithelium. In patients with TMH, a waiting approach should be considered because of the possibility of spontaneous closure of TMHs.
外伤性黄斑裂孔(TMH)的最佳治疗方法仍存在争议。我们报告了两例TMH自发闭合的病例。在首例患者中,裂孔闭合使视力从0.2提高到了0.8。在第二例病例中,尽管外伤后数天内TMH自发闭合,但未检测到视力提高。这可能是由于光感受器和视网膜色素上皮的不可逆损伤所致。对于TMH患者,鉴于TMH有自发闭合的可能性,应考虑采用等待观察的方法。