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Eye Care 2018 & Public Health Congress 2018 Archives of General Internal Medicine | ISSN: 2591-7951 | Volume 2
S e p t e m b e r 0 3 - 0 4 , 2 0 1 8 | L i s b o n , P o r t u g a l
alliedacademies Joint Event on
PUBLIC HEALTH, EPIDEMIOLOGY AND NUTRITION
OCULAR PHARMACOLOGY AND EYE CARE
&
World Congress on
19th International Conference on
Anna Praidou, Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C4-011
MACULA HOLE POST BLUNT OPHTHALMIC
TRAUMA IN A PEDIATRIC PATIENT
Anna Praidou
General Hospital of Thessaloniki, Greece
Statement of the Problem: The purpose of this case report is to present an
usual presentation of macula hole which is associated with commotio retinae
post blunt ophthalmic trauma in a paediatric patient.
Methodology & Theoretical Orientation: A case of 12-year-old male patient
was referred to our eye department due to blurry vision post blunt trauma
on his left eye. On examination ocular motility was normal while his best
corrected visual acuity (BCVA) was decreased to 20/200 in his left eye.
Findings: Slit-lamp examination of the anterior segment was normal, while
fundoscopy revealed vitreous and retinal hemorrhages, commotio retinae of
the posterior pole with cherry red macular spot, and macula hole. The patient
underwent optical coherence tomography investigation which confirmed
the initial diagnosis. One week follow up showed vitreous detachment and
spontaneous closure of the macula hole, while BCVA remained decreased
due to diffuse vitreous hemorrhage.
Conclusion & Significance: The patient was followed up closely during the
first few weeks after his trauma to be monitored and treated for potential
complications. Traumatic macula hole is a rare complication which is
associated with commotio retinae of the posterior pole after blunt ophthalmic
trauma. Spontaneous vs. surgical closure of the macula hole could be
expected in a few cases. While some patients recover completely, some
patients will remain visually impaired with reduced vision or paracentral
scotoma.
Anna Praidou received her Medical degree, complet-
ed her PhD thesis and her residency at the Universi-
ty of Thessaloniki, Greece. She completed MSc in
Medical Research Methodology at the University of
Thessaloniki, Greece and another MSc in Health Unit
Management at the Open University of Patra, Greece.
After completion of her training in Ophthalmology she
worked at Alder Hey Hospital, Liverpool in Pediatric
Ophthalmology, at Royal Liverpool University Hospital
in Medical Retina, Uveitis, and Ocular Oncology Ser-
vices. She was previously also working at Moorfields
Eye Hospital, London in the Cataract Service and at
the Royal Free Hospital, London in Medical Retina and
Cataract services. She is currently working as a Con-
sultant Ophthalmic Surgeon in NHS.
BIOGRAPHY