Traumatic Maculopathy with Macular Hole
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A 61-year-old man sustained blunt injury to his left eye, decreasing visual acuity to count fingers. Examination revealed mild vitreous hemorrhage, Berlin's edema with retinal hemorrhage, and a macular hole. Spectral-domain optical coherence tomography (SD OCT) demonstrated a full- thickness macular hole with increased parafoveal thickness. Two months later, his vision was 2/200, and examination showed resolution of macular edema with spontaneous closure of traumatic macular hole. Spectral-domain OCT demonstrated loss of the ellipsoidal zone and external limiting membrane. Fundus autofluorescence revealed interposed, reduced, and increased macular and peripapillary autofluorescence.

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