http://www.evrs.eu/medias/2005/congress/An-unusual-large-tractional-macular-break.swf

S. Ben Yahia, S. Jenzeri, B. Jelliti, S. Aouafi, M. Oueld El Hassen, R. Messaoud, A. Ladjimi, M. Khairallah

Purpose:

To describe an unusual case of a large tractional macular break.

Methods:

Case report.

Results:

A 38-year-old healthy man presented with a sudden decrease of vision in his left eye. He had no history of ocular trauma. Visual acuity was 20/20 in the right eye and counting fingers in the left eye. Anterior segment examination results were unremarkable in both eyes. Fundus examination showed no abnormality in the right eye and a 2-disc-diameter tractional macular break without associated retinal detachement in the left eye.

Conclusion:

This case illustrates an unusual location and size of a tractional retinal break. Its cause and management remain unclear.

Take-home message:

A sight-threatening large macular break may develop in the absence of ocular trauma.