Open AccessMacular tractional retinal detachment: A rare complication of blunt trauma
Author(s) -
Santosh Gopi Krishna Gadde,
Ram Snehith,
Chaitra Jayadev,
B Poornachandra,
Naveen Kumar Naik,
Naresh Kumar Yadav
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1424_20
Subject(s) - medicine , vitrectomy , tamponade , retinal detachment , ophthalmology , blunt trauma , visual acuity , vitreous hemorrhage , macular hole , blunt , surgery , proliferative vitreoretinopathy , retinal
Traumatic rhegmatogenous retinal detachment after blunt ocular trauma is a known entity. A tractional macular detachment occurring posttrauma without a retinal break is a unique presentation. A 25-year-old gentleman after blunt ocular trauma with a ball presented a week later with a vision of 20/800, large subretinal bleed and resolving vitreous hemorrhage in the right eye. Three weeks later, an extensive glial proliferation at the posterior pole and macular tractional retinal detachment was noted with the worsening of visual acuity. A vitrectomy, membrane peeling, and silicone oil tamponade with a subsequent silicone oil removal at 6 months stabilized the macula, and vision improved to 20/120. A tractional macular detachment post blunt trauma is rare albeit an interesting occurrence, which can be effectively managed with vitrectomy and allied procedures.