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Updated: Jul 5, 2026
04:02
System for Focal, Closed-System Central Nervous System Injury
Published on: November 29, 2024
[Macular hole associated with paintball ocular trauma]
Zofia Michalewska1, Janusz Michalewski, Zofia Nawrocka
1Kliniki Okulistycznej Jasne Błonia w Lodzi.
Klinika Oczna
|May 21, 2008
Summary
Pars plana vitrectomy with trypan blue staining successfully treated traumatic macular holes in two patients. Advanced imaging like OCT and HRT confirmed hole closure and are valuable for monitoring post-surgical outcomes.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Ocular Trauma
Background:
- Macular holes can result from ocular trauma, particularly from high-impact events like paintball incidents.
- Surgical intervention is often necessary to restore visual function in traumatic macular holes.
Observation:
- Two patients with traumatic macular holes following paintball injury were treated with pars plana vitrectomy and trypan blue staining.
- Pre- and post-operative assessments included Heidelberg Retina Tomography (HRT), Optical Coherence Tomography (OCT), Spectral-domain Optical Coherence Tomography (SOCT), and visual field examinations.
Findings:
- Successful closure of the macular holes was confirmed by OCT, SOCT, HRT, and indirect ophthalmoscopy.
- The first patient achieved a final visual acuity of 0.6 six months post-surgery, while the second patient reached a best-corrected visual acuity of 0.2 three months post-surgery.
Implications:
- Pars plana vitrectomy with trypan blue staining and fluid-air exchange is a safe and effective treatment for post-traumatic macular holes.
- HRT, OCT, and SOCT are essential diagnostic and monitoring tools for managing macular holes.
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