Traumatic Macular Hole: Diagnosis, Natural History, and Management

Figure 2

A 19-year-old male who sustained a firework explosion to his face presented with a macular hole that resolved spontaneously within three months of follow-up. (a) OCT at presentation shows a full-thickness macular hole and extensive subretinal fluid. Visual acuity was 20/400. (b) OCT a week after presentation shows a closed macular hole with some residual subretinal fluid. Visual acuity was 20/400. (c) OCT at the three-month follow-up visit shows a closed hole with resolved subretinal fluid but with extensive outer retinal atrophy and an increase in subretinal deposits. Visual acuity was finger counting.

(a)

(b)

(c)