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Management of pediatric traumatic macular holes - case report
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Orientador(es)
Resumo(s)
PURPOSE:
To report and describe the clinical course of four pediatric traumatic macular hole (TMH) cases and respective management.
CASE REPORT:
Four pediatric patients with macular hole following blunt ocular trauma underwent early pars plana vitrectomy, with consecutive hole closure. Initial visual acuity was <20/400 or worse in all patients. After surgery, all patients had visual acuity improvement, with final visual acuity being <20/50 in 2 of the patients by the end of the follow-up. Macular hole closure was achieved in all patients with a single procedure, and anatomical success was confirmed by optical coherence tomography until the end of the follow-up.
CONCLUSIONS:
Although spontaneous closure of TMH is not uncommon, especially in pediatric patients, early pars plana vitrectomy seems to be a safe and effective choice in pediatric TMH management. The risk/benefit ratio of surgery seems to be better than observation.
Descrição
Palavras-chave
Macular hole Trauma Pediatric patients
Contexto Educativo
Citação
Case Rep Ophthalmol 2013;48(2):20–27
Editora
Karger AG