gms | German Medical Science

Annual Meeting of the Society of the Ophthalmologists of Saxony 2017

Sächsische Augenärztliche Gesellschaft

24.11. - 25.11.2017, Glauchau

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The “dance” over the macula after ocular contusion

Meeting Abstract

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  • M. Fiorentzis - Halle/Saale
  • B. Seitz - Homburg/Saar
  • A. Viestenz - Halle/Saale

Sächsische Augenärztliche Gesellschaft. Jahrestagung 2017 der Sächsischen Augenärztlichen Gesellschaft. Glauchau, 24.-25.11.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17sag50

doi: 10.3205/17sag50, urn:nbn:de:0183-17sag506

Published: November 23, 2017

© 2017 Fiorentzis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Purpose: A macular hole is a rare complication after contusion or rupture of the eyeball. The management is discussed controversially because of the chance of spontaneous hole closure.

Effectiveness: A 26-year-old male was injured by a hit with orbital and nasal fracture. Visual acuity (VA) was hand motion (HM) OD. A central choroidal rupture with subretinal bleeding and a macular hole IV was observed. Because of a large (diameter 3 mm) central retinal detachment a pars plana vitrectomy with ILM-peeling was performed and a 180° ora serrata dialysis was treated with laser retinopexy.

Our way – Tips and Tricks: The drainage of the subretinal bleeding was performed through a “dance” over the macula with a perfluorodecalin bubble.

Conclusions: ILM-peeling and subretinal drainage did lead to a significant improvement of visual acuity up to 20/200. The macular hole was closed without any subretinal bleeding.

Take home message: The vitrectomy with lavage of subretinal fluid and ILM-peeling may lead to restoration of visual acuity especially in cases of severe ocular trauma with choroidal rupture and macular hole.