An unusual complication of blunt ocular trauma: A horseshoe-shaped macular tear with spontaneous closure

Karaca U. , Durukan H. A. , Mumcuoglu T., Erdurman C., Hurmeric V.

INDIAN JOURNAL OF OPHTHALMOLOGY, vol.62, no.4, pp.501-503, 2014 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 62 Issue: 4
  • Publication Date: 2014
  • Doi Number: 10.4103/0301-4738.121138
  • Page Numbers: pp.501-503
  • Keywords: Blunt trauma, horseshoe-shaped macular tear, spectral-domain optical coherence tomography, HOLE


A case of horseshoe-shaped macular tear after blunt trauma with the course of the tear and the relevant findings obtained by spectral-domain optical coherence tomography (SD-OCT) is described. A 21-year-old man who had suffered blunt trauma 5 days previously visited our clinic complaining of vision loss in his left eye. Ophthalmic examination and SD-OCT images revealed a horseshoe-shaped macular tear. A month later at the second visit, the macular tear was found to have spontaneously closed. There have been many cases reported previously of the spontaneous closure of traumatic macular holes. A horseshoe-shaped macular tear is an atypical clinical presentation. However, the mechanism of spontaneous closure is hypothetically as same as that for a macular hole. High-resolution images and three-dimensional maps taken with SD-OCT can provide more details on macular diseases and are more useful than time-domain OCT images.