Macular Hole in a Newborn Associated With Forceps Delivery

• Published in: Journal of pediatric ophthalmology and strabismus Vol. 47; no. 1; pp. 1 - 3
• Main Authors: Casillas, Malicia, Bazard, Marie-Christine, Hubert, Isabelle, Berrod, Jean-Paul
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ SLACK Incorporated 01.01.2010; SLACK INCORPORATED
• Subjects: Age; Amblyopia - diagnosis; Amblyopia - etiology; Babies; Birth Injuries - diagnosis; Birth Injuries - etiology; Birth Injuries - surgery; Cataracts; Childbirth & labor; Diabetic retinopathy; Endotamponade; Extraction, Obstetrical - adverse effects; Extraction, Obstetrical - instrumentation; Eye Injuries - diagnosis; Eye Injuries - etiology; Eye Injuries - surgery; Female; Fluorocarbons; Hemorrhage; Humans; Hypotheses; Infant, Newborn; Myopia, Degenerative - diagnosis; Myopia, Degenerative - etiology; Myopia, Degenerative - surgery; Newborn babies; Obstetrical Forceps - adverse effects; Retina; Retinal Perforations - diagnosis; Retinal Perforations - etiology; Retinal Perforations - surgery; Surgery; Vitrectomy; Vitreous Hemorrhage - diagnosis; Vitreous Hemorrhage - etiology; Vitreous Hemorrhage - surgery
• ISSN: 0191-3913; 1938-2405; 1938-2405
• DOI: 10.3928/01913913-20101217-02

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. [J Pediatr Ophthalmol Strabismus 2010;47:e1–e3.]