Traumatic macular hole formation is uncommon, and its exact etiology remains uncertain. Like idiopathic macular holes, traumatic holes can be rehabilitated with vitrectomy. Although the visual outcome may be limited by associated macular RPE atrophy or choroidal injury, there are encouraging reports of successful anatomical and functional outcomes with vitrectomy surgery. On occasion, small traumatic holes may resolve spontaneously, suggesting that close observation is necessary.
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