Pneumatic Displacement as a Treatment of Traumatic Macular Hole With Submacular Hemorrhage

In Brief Purpose: To report the potential benefit of pneumatic displacement with perfluoropropane in the acute treatment of traumatic macular hole and submacular hemorrhage. Methods: This article is a descriptive case report. Intravitreal injection of 0.3 mL of undiluted C3F8 was performed in an outpatient clinic setting, with strict face-down positioning for 7 days thereafter. Patient: An otherwise healthy 22-year-old white man with no past ocular history. Results and Discussion: Initial examination and optical coherence tomography documented significant displacement of the submacular hemorrhage, and stabilization of the macular hole 24 hours after pneumatic retinopexy was performed. Best-corrected visual acuity on presentation was counting fingers in the affected eye, which improved to 20/50 with a closed macular hole 6 weeks after his initial injury. A patient with a traumatic macular hole and submacular hemorrhage resulting in count fingers vision was treated with intraocular pneumatic displacement with perfluoropropane. Subsequent examination and imaging revealed submacular hemorrhage displacement and macular hole closure, with a best-corrected visual acuity of 20/50 six weeks after the initial injury.