case_images: PMC5848362_01
case_images: (a) Preoperative fundus picture showing choroidal rupture running across papillomacular bundle and full-thickness macular hole. (b) Postoperative fundus picture showing closed macular hole
case_images: OJO-11-90-g001.jpg
case_images: PMC5848362_01_OJO-11-90-g001.jpg
case_images: F1
case_images: We report the result of vitreous surgery in a 20-year-old male patient with traumatic macular hole with choroidal rupture running across PMB [Figure 1a] who presented 6 weeks after injury. Macular hole was found to be closed at 4 weeks after surgery, and at 8-week follow-up [Figures 1b and 2b], BCVA improved to 20/20 in OS.
case_images: (a and b) Preoperative and postoperative optical coherence tomography scans showing full-thickness macular hole closure following surgery and disrupted retinal pigment layer at the site of choroidal rupture (white arrow)
case_images: OJO-11-90-g002.jpg
case_images: PMC5848362_01_OJO-11-90-g002.jpg
case_images: F2
case_images: On examination, his best-corrected visual acuity (BCVA) was 20/200 and optical coherence tomography (OCT) scan revealed full-thickness macular hole and choroidal rupture involving retinal pigment epithelium (RPE) under PMB [Figure 2a]. 25-G pars plana vitrectomy with internal limiting membrane peeling and SF6 gas injection were performed followed by face down positioning for 7 days. Macular hole was found to be closed at 4 weeks after surgery, and at 8-week follow-up [Figures 1b and 2b], BCVA improved to 20/20 in OS.