Closed-globe injuries are known to cause peripheral retinal tears, retinal dialysis, choroidal rupture, and macular holes.1 A centrifugal force acting equally in all directions exerted by the posterior vitreous over the macula owing to the coup-contrecoup mechanism causes traumatic macular holes.2 However, unequal vectors lead to traction in one particular direction and result in irregular macular tears.3
Madanagopalan VG, Thotakura M, Dhoble P. Macular Horseshoe-Shaped Tear Following Cricket Injury. JAMA Ophthalmol. 2017;135(11):e173855. doi:10.1001/jamaophthalmol.2017.3855
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