目的：探讨外伤性黄斑裂孔的频域光相干断层扫描的形态特征及临床价值。 方法：我院2008-01/2011-01经采用国际标准视力表、裂隙灯显微镜、直接及间接检眼镜、三面镜确诊的外伤性黄斑裂孔患者29例29眼，进行频域光相干视网膜断层扫描（FD-OCT）检查，分析其图像特征。 结果：患者29例29眼中黄斑板层裂孔3例3眼(10%)，OCT表现为黄斑区神经上皮层部分缺失；黄斑全层裂孔26例26眼（90%），OCT图像均可见黄斑区神经上皮层全层缺失。其中黄斑全层裂孔中单纯性黄斑裂孔3例3眼；黄斑全层裂孔伴孔周神经上皮层水肿6例6眼；伴神经上皮层局限性脱离5例5眼；伴黄斑区脉络膜裂伤7例7眼；伴孔周神经上皮层局部萎缩变薄3例3眼；伴视网膜前膜2例2眼。 结论：频域OCT能清晰的观察到外伤性黄斑裂孔的形态及其周围组织损害，有利于外伤性黄斑裂孔的诊断及病情评估。

AIM:To observe the characteristic of the images of fourier-domain optical coherence tomography (FD-OCT) in patients with traumatic macular hole (TMH ) and to detect the clinical significance of FD-OCT. METHODS:Consecutive 29 patients (29 eyes) diagnosed with TMH by examinations of visual acuity, slit-lamp and direct or indirect ophthalmoscopy underwent FD-OCT. The characteristic of the images of FD-OCT in patients with TMH were retrospectively analyzed. RESULTS:Of the 29 patients (29 eyes) with TMH, lamellar macular hole was in 3 cases of 3 eyes(10%), OCT showed macular neurosensory partial deletion; full-thickness macular hole was in 26 cases of 26 eyes(90%), OCT images were seen macular neurosensory full-thickness loss. In the 26 patients with full-thickness macular hole, macular hole with full-thickness defect of neurosensory retina without edema or detachment at the margin was in 3 cases 3 eyes; full-thickness macular hole with edema of neurosensory retina at the margin in 6 cases 6 eyes; macular hole with localized detachment of the neurosensory retina at the margin in 5 cases 5 eyes; macular hole with choroidal rupture at the margin in 7 cases 7 eyes; macular hole with thinning neurosensory retina at the margin in 3 cases 3 eyes and macular hole with epiretinal membrane in 2 cases 2 eyes. CONCLUSION:FD-OCT can clearly observe the form of traumatic macular hole and display the surrounding tissue damage.FD-OCT is useful for disease evaluation and clinical diagnosis of TMH.