Traumatic macular tear

• Main Authors: Rodrigo Anguita, Janice Roth, Mohamed Katta, Cristóbal Nazar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: The Pan-American Journal of Ophthalmology
• Subjects: blunt trauma; horseshoe macular tear; ocular trauma; optical coherence tomography; traumatic macular hole
• Online Access: http://www.thepajo.org/article.asp?issn=2666-4909;year=2020;volume=2;issue=1;spage=27;epage=27;aulast=Anguita

The purpose is to report a case of horseshoe macular tear and its management. Case reports of a patient with blunt trauma including findings on clinical examination, color fundus photography, and spectral-domain optical coherence tomography (OCT). A 23-year-old presented with a blunt ocular trauma from a plastic toy in the right eye. Fundoscopy revealed a horseshoe macular tear associated with a partial posterior vitreous detachment (PVD). OCT confirmed a full thickness macular tear with radial extension and associated retinal thickening. The patient underwent conservative management and was followed closely showing a spontaneous resolution of the macular tear. Our case report describes an example of traumatic horseshoe macular tear; we hypothesized that the PVD and the secondary inflammation as a result of the trauma were responsible for the spontaneous resolution of macular tear in our case.