Indian Journal of Ophthalmology (Jan 2014)

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

  • Umut Karaca,
  • Hakan A Durukan,
  • Tarkan Mumcuoglu,
  • Cuneyt Erdurman,
  • Volkan Hurmeric

DOI
https://doi.org/10.4103/0301-4738.121138
Journal volume & issue
Vol. 62, no. 4
pp. 501 – 503

Abstract

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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.

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