[Spontaneous closure of traumatic macular holes. Two cases]

Ophthalmologe. 2010 Nov;107(11):1063-7. doi: 10.1007/s00347-010-2179-7.
[Article in German]


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.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Eye Injuries / diagnosis*
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Macula Lutea / injuries*
  • Macula Lutea / pathology
  • Male
  • Middle Aged
  • Orbital Fractures / diagnosis
  • Remission, Spontaneous*
  • Retinal Perforations / diagnosis*
  • Retinoscopy
  • Tomography, Optical Coherence
  • Visual Acuity / physiology
  • Wounds, Nonpenetrating / diagnosis*