Macular Hole in a Newborn Associated With Forceps Delivery

Casillas, Malicia; Bazard, Marie-Christine; Hubert, Isabelle; Berrod, Jean-Paul
November 2010
Journal of Pediatric Ophthalmology & Strabismus;Nov/Dec2010, Vol. 47 Issue 6, pe1
Academic Journal
Case Study
A newborn who had familial high myopia presented with bilateral dense vitreous hemorrhage after forceps delivery. Vitrectomy in the right eye revealed a macular hole surrounded by pigmented cells. After subsequent surgery, the macular hole healed and remained closed during 10 years of follow-up, but profound amblyopia persisted. Macular hole is a possible complication of forceps delivery. Vitrectomy associated with inner limiting membrane peeling and gas tamponade was effective in closing macular hole in a newborn but was unable to prevent amblyopia.


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