Purpose: To review the anatomic and visual outcomes of patients with traumatic macular hole, who underwent vitreoretinal surgery with membrana limitans interna (MLI) removal and using autologous serum. Methods: The retrospective review consists of 6 eyes of 6 patients with traumatic macular hole, who underwent pars plana vitrectomy with the removal MLI and with using autologous serum. This studyincludes 4 male and2 female. Agesranged from 10 to 34 years and all patients underwent surgery between Februar 1997 to October 2000. The time between the injury and surgery ranged from 3 days to 3 months. The aetiollogy was 5 - times blunt trauma with ball during field games and once it was shot injury. The initial visual acuity and campimetry were revied and anatomical, functional results and campimetry every 3 months after surgery were reviewed. Results: Anatomical closure of the macular hole wasachieved in4 (66,6 %) of the eyes (in 1 eye the closure was with pigmented scar). Two patients who have a persistent macular hole, underwent this surgery 2 or 3 months after injury. In all 4 eyes with anatomic closure of the macular hole was reduction of central scotoma. Postoperative Snellen visual acuity improved 3 or mole lines in the 2 eyes. Conclusion: Our results suggest that the period between injury and vitreoretinal surgery is very important for final anatomical and functional results after traumatic macular hole.

        Key words: traumatic macular hole, pars plana vitrectomy