Large blunt scleral rupture without retinal detachment.

Eyes with scleral rupture after blunt trauma are often complicated by proliferative vitreoretinopathy. A 56-year-old man sustained blunt trauma to his left eye. Visual acuity was light perception. The fundus was obscured by hyphema. Computed tomography imaging and the presence of extensive subconjunctival hemorrhage suggested scleral rupture. Prompt primary surgery to repair a 25-mm scleral rupture was performed under general anesthesia. No retinal detachment developed. Two years postoperatively, visual acuity increased to 12/20. This case shows that retinal detachment and proliferative vitreoretinopathy may not complicate extensive scleral ruptures under certain circumstances.

Citation

Kohei Takayama, Tsutomu Yasukawa, Morio Okada, Aki Sumida, Norio Watanabe, Sunao Uchida. Large blunt scleral rupture without retinal detachment. Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye. 2008 May-Jun;39(3):242-5

Mesh Tags

PMID: 18556952

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