gms | German Medical Science

Jahrestagung der Sächsischen Augenärztlichen Gesellschaft 2017

Sächsische Augenärztliche Gesellschaft

24.11. - 25.11.2017, Glauchau

The “dance” over the macula after ocular contusion

Meeting Abstract

Suche in Medline nach

  • M. Fiorentzis - Halle/Saale
  • B. Seitz - Homburg/Saar
  • A. Viestenz - Halle/Saale

Sächsische Augenärztliche Gesellschaft. Jahrestagung 2017 der Sächsischen Augenärztlichen Gesellschaft. Glauchau, 24.-25.11.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17sag50

doi: 10.3205/17sag50, urn:nbn:de:0183-17sag506

Veröffentlicht: 23. November 2017

© 2017 Fiorentzis et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe



Purpose: A macular hole is a rare complication after contusion or rupture of the eyeball. The management is discussed controversially because of the chance of spontaneous hole closure.

Effectiveness: A 26-year-old male was injured by a hit with orbital and nasal fracture. Visual acuity (VA) was hand motion (HM) OD. A central choroidal rupture with subretinal bleeding and a macular hole IV was observed. Because of a large (diameter 3 mm) central retinal detachment a pars plana vitrectomy with ILM-peeling was performed and a 180° ora serrata dialysis was treated with laser retinopexy.

Our way – Tips and Tricks: The drainage of the subretinal bleeding was performed through a “dance” over the macula with a perfluorodecalin bubble.

Conclusions: ILM-peeling and subretinal drainage did lead to a significant improvement of visual acuity up to 20/200. The macular hole was closed without any subretinal bleeding.

Take home message: The vitrectomy with lavage of subretinal fluid and ILM-peeling may lead to restoration of visual acuity especially in cases of severe ocular trauma with choroidal rupture and macular hole.