Macular hole in a newborn associated with forceps delivery.

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.