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[Traumatic macular hole and posterior vitreous]
N Yanagiya1, J Akiba, M Takahashi
1Department of Ophthalmology, Asahikawa Medical College, Hokkaido, Japan.
Nippon Ganka Gakkai Zasshi
|September 1, 1995
Summary
Traumatic macular holes, often elliptical, typically occur without posterior vitreous detachment. Blunt eye trauma likely causes these macular ruptures mechanically.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Trauma Research
Context:
- Retrospective analysis of 18 patients with traumatic macular holes.
- Evaluation of clinical features and associated ocular findings.
- Investigation into the role of posterior vitreous detachment (PVD).
Purpose:
- To describe the clinical characteristics of traumatic macular holes.
- To elucidate the pathogenesis of traumatic macular holes.
- To determine the relationship between traumatic macular holes and PVD.
Summary:
- Most traumatic macular holes (94%) were elliptical with irregular edges, varying in size.
- Posterior vitreous detachment was infrequent (17%) and not consistently associated with macular involvement.
- Associated findings included commotio retinae, vitreous hemorrhage, hyphema, and choroidal rupture.
Impact:
- Suggests traumatic macular hole pathogenesis is independent of PVD.
- Proposes mechanical factors from blunt trauma as the cause of macular rupture.
- Informs clinical understanding and potential management strategies for traumatic macular injuries.