Budoff Greg, Bhagat Neelakshi, Zarbin Marco A
Rutgers-New Jersey Medical School, Institute of Ophthalmology and Visual Science, Rutgers University, New Brunswick, NJ, USA.
J Ophthalmol. 2019 Mar 19;2019:5837832. doi: 10.1155/2019/5837832. eCollection 2019.
Traumatic macular hole occurs most often in young men and can present after various types of injuries. Traumatic macular holes result from anteroposterior and tangential vitreoretinal traction and may exhibit concurrent additional pathologies such as Berlin's edema and subretinal fluid. Optical coherence tomography can play an essential role in patient management both at presentation and during follow-up. Initial management consists of observation, but macular hole repair can be performed if spontaneous resolution does not occur. Upon macular hole closure, vision may improve, on average, by two lines or more but may be limited by associated macular pathology.
外伤性黄斑裂孔最常发生于年轻男性，可在各种类型的损伤后出现。外伤性黄斑裂孔是由前后和切线方向的玻璃体视网膜牵引引起的，可能同时伴有其他病变，如柏林水肿和视网膜下液。光学相干断层扫描在患者就诊时和随访期间的管理中都起着至关重要的作用。初始治疗包括观察，但如果不能自发闭合，则可进行黄斑裂孔修复。黄斑裂孔闭合后，视力平均可提高两行或更多，但可能会受到相关黄斑病变的限制。
