| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 415-418 |
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Traumatic macular hole repair through topical dorzolamide: A case report
Hsin-Ai Huang1, Kuan-Jen Chen2, Chi-Chun Lai3, Hung-Da Chou2
1 Department of Medical Education, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan
2 Department of Medical Education; Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan
3 Department of Medical Education, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan; Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan
Correspondence Address:
Hung-Da Chou
Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan. No. 5 Fuxing Street, Guishan District, 333, Taoyuan
Taiwan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2549_22
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Traumatic macular holes (MHs) still have a guarded prognosis. Whether spontaneous closure or early surgical intervention leads to a more favorable outcome is unclear. Topical therapy with carbonic anhydrase inhibitors was reported to be a non-invasive but effective treatment for traumatic MHs. A 17-year-old boy, whose face was injured by a firework explosion, presented to our emergency department with decreased vision in his left eye (20/125). A bio-microscopic examination revealed a vitreous hemorrhage that partially obscured the fundus. Optical coherence tomography (OCT) revealed an MH in the fovea with mild intra-retinal edema and juxtafoveal outer retinal layer alterations. Dorzolamide (2%) was administered four times per day. Two weeks later, OCT revealed a closed MH, and the patient's visual acuity had improved to 20/30 at 2 months following the incident. Topical aqueous suppression therapy may potentiate the closure of traumatic MHs by reducing the amount of intra-retinal fluid. It can serve as a non-invasive therapy for small traumatic MHs, especially those with the intra-retinal fluid, or as a temporary therapy before a scheduled operation.
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