Traumatic macular hole closure and visual improvement after topical nonsteroidal antiinflammatory drug treatment.

Publication Date

2017

Journal Title

Retin Cases Brief Rep

Abstract

To report a case of pediatric traumatic macular hole that closed with visual improvement after treatment with topical ketorolac.Retrospective case report.A 15-year-old girl presented with persistent left blurred vision after being hit with a soccer ball 2 months before. Visual acuity was 20/40 with a full-thickness macular hole with cystoid macular edema. After treatment with ketorolac 0.4% four times a day for a month, the hole closed with resolution of the cystoid macular edema but some remaining subretinal fluid. The ketorolac was tapered over the following month, and the subretinal fluid resolved during the subsequent months. At 10 months after initial presentation, patient's vision was 20/20 with a normal foveal contour, no subretinal fluid, and minimal ellipsoid zone disruption.Topical nonsteroidal antiinflammatory drug treatment may play a role in the resolution of traumatic macular holes with cystoid macular edema.

Document Type

Article

Status

Faculty, Northwell Resident

Facility

School of Medicine; Northwell Health

Primary Department

Ophthalmology

PMID

29384982

DOI

10.1097/icb.0000000000000705

For the public and Northwell Health campuses

Share

COinS