Abstract Introduction Traumatic macular holes (TMH) are well-known ogee skirt complications of ocular contusion injury.Spontaneous closure occurs in approximately 50% of cases, but rarely after the age of thirty.We report a case of spontaneous closure of a full thickness macular hole due to a blunt trauma and we suggest possible mechanisms for this closure.
Case presentation A 50-year-old Greek woman was referred with a history of reduced best-corrected visual acuity after blunt trauma to her right eye.Diagnosis was based on fundoscopic, optical coherence tomography as well as fluorescein angiography findings with follow-up visits at two days, 20 days and five months.Fundoscopy revealed a full-thickness TMH with a minor sub-retinal hemorrhage and posterior vitreous detachment.
The presence of a coagulum in the TMH base was observed.Subsequently, TMH closure was observed.Conclusion The clot in the TMH base, potentially a hemorrhage by-product containing a significant quantity of platelets, may have simulated the clot observed after autologous serum use, thus facilitating a similar effect.
This may have stimulated john tory hair glial cell migration and proliferation, thus contributing to spontaneous hole closure.