Retinal Trauma

Case 11-7. Traumatic Macular Hole

Clinical Summary

A 20-vear-old man was evaluated four weeks after blunt trauma to his right eye from an electrical explosion. The day of the examination, he complained of an abrupt loss in visual acuitv in this eve, which was assessed at hand j J

motions only No clinical photographs were obtained due to the poor view of the fundus.

Optical Coherence Tomography

OCT was performed (A) and demonstrated a full-thickness macular hole. The asymmetric contour of the hole was consistent with a traumatic rather than an idiopathic etiology: Reduced reflected signal was observed throughout the image due to the hazy view and resolving vitreous hemorrhage

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