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Macular hole in a newborn associated with forceps delivery
Malicia Casillas1, Marie-Christine Bazard, Isabelle Hubert
1Ophtalmology A, Service Ophtalmology Hopital Central, Nancy, France.
Journal of Pediatric Ophthalmology and Strabismus
|December 24, 2010
Summary
Forceps delivery can cause macular holes in newborns, leading to vision loss. While vitrectomy surgery can heal these holes, it may not prevent permanent amblyopia.
Area of Science:
- Ophthalmology
- Neonatal Care
- Surgical Complications
Background:
- Familial high myopia presents a risk factor in newborns.
- Forceps delivery is a potential cause of ocular trauma in neonates.
Observation:
- A newborn with familial high myopia experienced bilateral vitreous hemorrhage post-forceps delivery.
- Ocular examination revealed a macular hole in the right eye.
Findings:
- Vitrectomy with inner limiting membrane peeling and gas tamponade successfully closed the macular hole.
- Despite surgical closure, profound amblyopia persisted in the affected eye.
- The macular hole remained closed during a 10-year follow-up period.
Implications:
- Macular hole is a recognized complication of forceps delivery in newborns.
- Surgical intervention can effectively repair neonatal macular holes.
- Early detection and management are crucial, though amblyopia prevention remains a challenge.
