César Adrián Gómez Valdivia, MD » Traumatic Macular Hole

Sep 9 2026 by César Adrián Gómez Valdivia, MD

Macular hole appears as a round lesion with a subtle perilesional neurosensory detachment; adjacent to the disc, a curvilinear choroidal rupture is visible, exposing the underlying sclera — the classic clinical correlate of the FAF and OCT findings above.

Photographer: @eyemissu2

Condition/keywords: Traumatic Macular Hole

Sep 9 2026 by César Adrián Gómez Valdivia, MD

A rounded area of central hypoautofluorescence corresponds to a traumatic macular hole, from loss of RPE/photoreceptors. A curvilinear band of altered autofluorescence between the disc and the hole represents an associated choroidal rupture, concentric to the optic nerve — the classic contrecoup pattern of blunt trauma.

Photographer: @eyemissu2

Condition/keywords: traumatic macular hole

Sep 9 2026 by César Adrián Gómez Valdivia, MD

OCT b-scan through the same macula confirming a full-thickness traumatic macular hole, with elevated, separated neurosensory edges and no visible operculum — typical of traumatic (vs. idiopathic) holes. No vitreomacular traction or epiretinal membrane is seen, supporting a pure traumatic mechanism.

Photographer: @eyemissu2

Condition/keywords: traumatic macular hole