A Case of Full Thickness Macular Hole Secondary to Old Traumatic Choroidal Rupture Adjacent to the Fovea


SCIENTIFIC POSTER

A Case of Full Thickness Macular Hole Secondary to Old Traumatic Choroidal Rupture Adjacent to the Fovea by Kuihyung Mun, Hanjin Oh, South Korea


ABSTRACT

Purpose:

Blunt ocular trauma may cause a variety of posterior segment abnoramlities. Traumatic macular hole and choroidal rupture may also occur after blunt ocular trauma. This report presents a full thickness macular hole with occurred many years after a blunt eye trauma leading to choroidal rupture.

Case summary:

A 76-year-old man presented with a 1-week history of floater. He experienced a blunt trauma to his left eye when he was 10 years old. But he did not complain of any visual disturbance in the left eye at that time. The best corrected visual acuity was 20/25 in the left eye and 20/20 in the right eye. At the first visit, fundoscopic examination showed a yellowish-white crescent shaped fibrotic scar temporal to the fovea, about 2 disc diameter sized RPE change was observed. While his right eye was normal. Spectral-domain optical coherence tomography (SD-OCT) revealed fibrotic scar of left eye. Several hyperreflective protrusion were observed at the subretinal pigment epithelial level. And thin epiretinal membrane on the retinal surface was observed. Fundus autofluorescence (FAF) photo showed hyperautofluorescence of the fovea and fibrotic scar of the choroidal rupture. After a 3 months follow-up period, the patient visited to our hospital due to a sudden decrease in visual acuity in the left eye. At that time, fundoscopic examiniation showed macular hole in the left eye, and best corrected visual acuity was decreased to 20/200. SD-OCT showed stage 2 full thickness macular hole with retinal schisis at the margin of macular hole were observed. We performed a 25-gauge pars plana vitrectomy and intravitreal gas tamponade. 1 month later, the full thickness macular hole completely closed and best corrected visual acuity of the left eye was improved to 20/32.

Conclusions:

Patients should be monitored carefully for the development of a macular hole associated with traumatic choroidal rupture adjacent to the fovea.


CONTACT DETAILS

 

Kuihyung Mun
Kwang Ju, South Korea
Email : hades97@naver.com
Cell Phone: +821041938077
Work Phone: +82623805800