Posters

Unusual complications secondary to eye trauma

Poster Details

First Author: F. March de Ribot SPAIN

Co Author(s):    P. Lopez Lizarraga   A. March de Ribot                 

Abstract Details

Purpose:

To report the case of a patient with a bilateral traumatic macular hole as a consequence secondary to an ocular trauma secondary to a hit with a rope. This unfortunate scenario represents a surgical challenge. This situation has not been previously described.

Setting:

Universitary Hospital, Ophthalmology Service

Methods:

A 22 year old boy came with the history of a 5 month visual acuity loss and central distortion. The visual acuity was 20/400 in the right eye and 20/200 in the left eye. In the anterior segment of the right eye superior posterior synechia were evident and a superotemporal iridodyalisis. In the posterior segment of the right eye there was a macular hole with a predominant vertical axis, in the left eye there was a macular hole with a predominant horizontal axis and a marked epirretinal membrane.

Results:

Retina surgery was proposed in both eyes. Vitrectomy was done succesfully with epirretinal extraction and internal limiting membrane peeling after membrane blue dye tintion. At the end of both surgeries, that were performed in different surgical times, the macular holes were closed and gas was used as tamponade. In the follow-up the macular holes were closed and the visual acuity improved as well as the visual alterations. The visual acuity improved to 20/200 in the right eye and 20/80 in the left eye.

Conclusions:

Although spontaneous closure of TMH is not uncommon, especially in young patients, early pars plana vitrectomy can be considered in bilateral cases. Each case has to be evaluated individually to determine the best management for each patient.

Financial Disclosure:

NONE