Treatment of Pediatric Traumatic Macular Holes
Authors:
J. Štěpánková; D. Dotřelová
Authors place of work:
Oční klinika dětí a dospělých 2. LF UK a FNM, V Úvalu 84, 150 08, Praha 5, Motol, přednosta prof. MUDr. Dagmar Dotřelová, CSc., FEBO
Published in the journal:
Čes. a slov. Oftal., 71, 2015, No. 1, p. 30-36
Category:
Original Article
Summary
Purpose:
To report the results of treatment of the traumatic macular holes (TMH) in four children.
Methods:
Retrospective study analyzed data of 4 children, males with a mean age of 12.3 years (range, 9–17 years), with diagnosis of TMH. All patients suffered a blunt trauma of the eye during the sport activities. The symptoms of three patients began after being hit to the face with a soccer balls, one boy was hit to his eye by a tennis rocket. Right eyes and left eyes were occurred identically. All patients were followed with ophthalmic examination, fundus photography and optical coherence tomography (OCT). One patient aged 10 years two weeks after blunt trauma with a soccer ball achieved spontaneous closure of TMH. Three patients aged nine to 17 years with TMH underwent surgical repair between September 2007 and May 2012 with three-port vitrectomy. After induction of posterior vitreous detachment vitrectomy with or without internal limiting membrane (ILM) peeling and gas or silicone oil injection were performed followed by prone positioning of head for ten days. Silicon oil was in an only patient removed within 3.5 month.
Results:
All four macular holes were closed successfully. Follow-up period was from 10 to 31 month (ranged, 20 month). There were no reoperations. There were no surgical complications during follow-up period. Visual acuity (VA) improved in all eyes. In spontaneously closed TMH was VA improved from 0.5 to 1.0. In surgically treated group VA improved from initial 0.016 to 0.1 (ranged, 0.061) to final 0.25 to 0.5 (ranged, 0.36).
Conclusion:
Pars plana vitrectomy is a safe method for treatment TMH in children without tends to spontaneous closure of TMD in OCT imaging. Predisposition for TMH in population south-east Asia is suspected.
Key words:
traumatic macular hole, children, optical coherence tomography, vitrectomy, spontaneous closure
Zdroje
1. Aalok L., Azad R., Sharma Y.R., Phuljhele S.: Microperimetry and optical coherence tomography in a case of traumatic macular hole and associated macular detachment with spontaneous resolution. Indian J Ophthalmol 2012, 60(1), 66–68.
2. Amari F., Ogino N., Matsumura M., Negi A., Yoshimura N.:Vitreous surgery for traumatic macular holes. Retina, 1999, 19, 410–413.
3. Arevalo J.F., Sanchez J.G., Costa R.A., Farah M.E., Berrocal M.H., Graue-Wiechers F., Lizana C., Robledo V., Lopera M.: Optical Coherence tomography characteristics of full-thickness traumatic macular holes. Eye, 2008, 22, 1436–1441.
4. Azevedo S., Ferreira N., Meireles A.: Management of Pediatric Traumatic Macular Holes – Case Report. Case Rep Ophthalmol 2013, 4, 20–27.
5. Bosch-Valero J., Mateo J., Lavilla-García L., Núñez-Benito E., Cristóbal J.A.: Spontaneous Closure of Full Thickness Traumatic Macular Holes. Arch Soc Esp Oftalmol 2008, 83, 325–327.
6. Brasil O.F.M., Brasil O.M.: Management of traumatic macular holes: case report. Arq Bras Oftalmol 2008, 71(4), 581–584.
7. Gao L., Dong F., Chan W.: Traumatic macular hole secondary to Nd:YAG laser, Eye, 2007, 21, 571–573.
8. García-Arumí J., Corcostegui B., Cavero L, Sararols L.: The role of vitreoretinal surgery in the treatment of posstraumatic macular hole. Retina, 1997, 17, 372–377.
9. Ghoraba H.H., Ellakva A.F., Ghali A.A.: Long term result of silicone oil versus gas tamponade in the treatment of traumatic macular holes. Clin Ophthalmol, 2012, 6, 49–53.
10. Hirata A., Tanihira H.: Ruptured internal limiting membrane associated with blunt trauma revealed by indocyanine green staining. Graefe´s Arch Clin Exp Ophthalmol, 2004, 242, 527–530.
11. Huang J., Liu X., Wu Z., Lin X., Li M., Dustin L., Sadda S.: Classification of Ful-thickness Traumatic Macular Holes by Optical Coherence Tomography. Retina, 2009, 29, 340–348.
12. Chow D.R., Williams G.A., Trese M.T., Margherio R.R., Ruby A.J., Ferrone P.J.: Succesful closure of traumatic macular holes. Retina, 1999, 19 (5), 405– 409.
13. Johnson R.N., McDonald H.R., Lewis H., Grand M.G., Murray T.G., Mieler W.F., Johnson M.W., Boldt H.C., Olsen K.R., Tornambe P.E., Folk J.C.: Traumatic Macular Hole. Am J Ophthalmol, 2001, 108(5), 853–857.
14. Kimura M., Nishimura A., Sugiyama K.: Localized vitreous adhesion to the retina after ocular contusion with a baseball. Clin Ophthalmol, 2012, 6, 879–884.
15. Knapp H.: Ueber Isolirte Zerreissungen der Aderhaut infolge von Traumen auf Augapel, Arch Augenheilkd 1869, 1, 6–29, v: Gill M.K., Lou P.L.: Traumatic macular hole. Int Ophthalmol Clin, 2002, 42(3), 97–106.
16. Korda V., Dusová D., Studnička J., Rencová E., Hejcmanová D.: Chirurgické řešení makulární díry. Čes a Slov Oftalmol, 2005, 61 (5), 316–320.
17. Krásnik V., Strmeň P., Javorská L.: Chirurgická liečba traumatickej diery makuly. Čes a Slov Oftalmol, 2002, 58 (2), 84–88.
18. Kuhn F., Morris R., Mester V., Witherspoon C.D.: Internal limiting membrane removal for traumatic macular holes. Ophthalmic surgery and lasers, 2001, 32 (4), 308–315.
19. Kusaka S., Fujikado T., Ikeda T., Tano Y.: Spontaneous disappearance of traumatic macular holes in young patients. Am J Ophthalmol, 1997, 123 (6), 837–839.
20. Lai M.M., Joshi M.M., Trese M.T.: Spontaneous Resolution of Traumatic Macular Hole-related Retinal Detachment. Am J Ophthalmol, 2006, 141 (6), 1148–1151.
21. Lin L., Liang Ch., Chiang S., Yang H., Chang Ch.: Traumatic macular hole secondary to a Q-switch alexandrite laser. Retina, 2005, 25(5), 662–665.
22. MitamuraY., Saito W., Ishida M., Yamamoto S., Takeuchi S.: Spontaneous closure of traumatic macular hole. Retina, 2001, 21 (4), 385–389.
23. Margherio A.R., Margherio R.R., Hartzer M., Trese M.T.,Williams G.A, Ferrone P.J.: Plasmin Enzyme –assisted Vitrectomy in Traumatic Pediatric Macular Holes. Ophthalmology 1998, 105, 1617–1620.
24. Nasr M., Symeonidis C., Tsinopoulos I., Androudi S., Rotsos T, Dimitrakos S.A.: Spontaneous traumatic macular hole closure in 50-year-old women: a case report. J Med Case Rep, 2011, 6 (5), 290.
25. Oehrens A.M., Stalmans P.: Optical Coherence Tomographic Documentation of the Formation of a Traumatic Macular Hole. Am J Ophthalmol, 2006, 142 (5), 866–869.
26. Parmar D.N., Štanga P.E., Reck A.C., Vingerling J.R., Sullivan P.: Imaging of traumatic macular hole with spontaneous clossure. Retina, 1999, 19 (5), 470–472.
27. Rubin J.S., Glaser B.M., Thompson J.T., Sjaarda R.N., Pappas S.S., Murphy R.P: Vitrectomy, fluid-gas exchange and transforming growth factor-beta-2 for the treatment of traumatic macular holes. Ophthalmology, 1995, 102 (12), 1840–1845.
28. Sartori J.de F., Stefanini F., Moraes N.S.B de: Spontaneous closure of pediatric traumatic macular hole: case report and spectral-domain OCT follow-up. Arq Bras Ophthalmol, 2012, 75(4), 286–288.
29. Sou R., Kusaka S.,Ohji M., Gomi F., Ikuno Y., Tano Y.: Optical Coherence Tomographic Evaluation of a Surgically Treated Traumatic Macular Hole Secondary to Nd:YAG Laser Injury. Am J Ophthalmol, 2003, 135(4), 537–539.
30. Yamada H., Sakai A., Yamada E., Nishimura T., Matsumura M.: Spontaneous Closure of Traumatic Macular Hole. Am J Ophthalmol, 2002, 134, 340-347.
31. Yamashita T., Uemara A., Uchino E., Doi N., Ohba N.: Spontaneous Closure of Traumatic Macular Hole. Am J Ophthalmol, 2002, 133(2), 230–235.
32. Yeshurun I., Guerrero-Naranjo J.L., Quiroz-Mercado H.: Spontaneous Clossure of a Large Traumatic Macular Hole in a Young Patient. Am J Ophthalmol, 2002, 134 (4), 602–603.
33. Wachtlin J., Jandeck C., Potthöffer S., Kellner U., Foerster M.H.: Long-term Results Following Pars Plana Vitrectomy With Platelet Concentrate in Pediatric Patients With Traumatic Macular Hole. Am J Ophthalmol, 2003,136 (1), 197–199.
34. Wiechel E.D., Colyer M.H.: Traumatic Macular Holes Secondary to Combat Ocular Trauma. Retina, 2009, 29, 349–354.
35. Wu W., Drenser K.A., Trese M.T., Williams G.A., Capone A.: Pediatric Traumatic Macular Hole: Results of Autologous Plasmin Enzyme-Assisted Vitrectomy. Am J Ophthalmol, 2007, 144 (5), 668–672.
Štítky
OphthalmologyČlánok vyšiel v časopise
Czech and Slovak Ophthalmology
2015 Číslo 1
Najčítanejšie v tomto čísle
- Comparison of Visual Acuity and Higher-order Aberrations after Standard and Wavefront-guided Myopic Femtosecond LASIK
- Dynamic Vitreomacular Traction
-
Jednodenní oboustranná operace katarakty.
Vlastní výsledky - Anophthalmic Conjunctival Sac Plastic Surgery Using the Modified Cul-de-Sac Method