An unusual complication of blunt ocular trauma: A horseshoe-shaped macular tear with spontaneous closure

• Main Authors: Umut Karaca, Hakan A Durukan, Tarkan Mumcuoglu, Cuneyt Erdurman, Volkan Hurmeric
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Mean deviation; non-proliferative diabetic retinopathy; short fluctuations; short wave automated perimetry; standard automated perimetry; Antimicrobial effect; conventional silicone oil; endophthalmitis agents; heavy silicone oil; Keratoconus; modified deep anterior lamellar keratoplasty; steep corneal curvature; Bevacizumab; branch retinal vein occlusion; intravitreal; macular edema; triamcinolone; Blindness; disability evaluation; quality of life; visual acuity; Mitomycin C; pterygium recurrence; pterygium surgery; subconjunctival bevacizumab injection; Imaging in glaucoma; optical coherence tomography; pediatric; retinal nerve fiber layer; Autogenous tissue grafting; lacrimal drainage system; lacrimal fossa; bypass surgery; Cornea; excimer laser; growth factors; myopia; photorefractive keratectomy; Triamcinolone acetonide; human trabecular meshwork cells; in vitro; Hyperopic implantable collamer lens; myopic implantable collamer lens; optical quality; wavefront aberrations; Dacryocystorhinostomy; nasolacrimal duct obstruction; silicone tube; Age; anterior chamber depth; body height; primary angle closure glaucoma; sex; Children; eye injury vitrectomy study; eye injury; trauma; vitrectomy; Corneal biomechanics; corneal hysteresis; corneal resistance factor; intraocular pressure; keratoplasty; ocular response analyser; Aspherical intraocular lens; quality of vision; spherical aberrations; Benign; excision; lids and caruncle; no recurrence; ocular FH; inflammation; sterile endophthalmitis; Carotid artery disease; ocular ischemic syndrome; retinal emboli; cataract; India; low vision; population; Awareness; glaucoma; knowledge; North India; Aphakia; capsular support; inadequate; intraocular lens implantation; iris fixation; Extra macular BRVO; hyperhomocysteinemia; multiple BRVO; Medial canthus; recurrent; retiform hemangioendothelioma; Optic atrophy; osteopetrosis; Lacrimal abscess; dacryocystitis; cardiobacterium hominis; Ethambutol; linezolid; optic neuropathy; Blunt trauma; horseshoe-shaped macular tear; spectral-domain optical coherence tomography
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=501;epage=503;aulast=Karaca
• ISSN: 0301-4738; 1998-3689

A case of horseshoe-shaped macular tear after blunt trauma with the course of the tear and the relevant findings obtained by spectral-domain optical coherence tomography (SD-OCT) is described. A 21-year-old man who had suffered blunt trauma 5 days previously visited our clinic complaining of vision loss in his left eye. Ophthalmic examination and SD-OCT images revealed a horseshoe-shaped macular tear. A month later at the second visit, the macular tear was found to have spontaneously closed. There have been many cases reported previously of the spontaneous closure of traumatic macular holes. A horseshoe-shaped macular tear is an atypical clinical presentation. However, the mechanism of spontaneous closure is hypothetically as same as that for a macular hole. High-resolution images and three-dimensional maps taken with SD-OCT can provide more details on macular diseases and are more useful than time-domain OCT images.