Posterior pole retinal tears following blunt ocular trauma

Ayalon, Anfisa; Okrent, Lily; Rubowitz, Alexander

doi:10.1016/j.ajoc.2020.100642

Cited by 5 publications

(11 citation statements)

References 9 publications

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“…We describe severe blunt eye trauma associated with haemophthalmus, subretinal haemorrhage in the macular region and large retinal dialysis in the temporal quadrant. Retinal tears in the region of the ora serrata and peripheral retina are typically caused by blunt trauma [9]. A retinal dialysis is a tear in the retina whose anterior edge is at ora serrata and whose posterior edge is attached to the vitreous base [10].…”

Section: Case Reportmentioning

confidence: 99%

Uncommon severe blunt ocular injury associated with large retinal dialysis caused by a fishing sinker

et al. 2021

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Introduction. Severe ocular injuries caused by fishing equipment are relatively rare. The visual prognosis for fishing-related injuries depends on the involved ocular structures, the presence of complications, and surgical techniques applied. Case outline. A 40-year-old man reported a sudden severe sharp pain and a loss of vision in his left eye while he was pulling the fishing rod during recreational fishing. At admission, his best corrected visual acuity (BCVA) of the left eye was 1/60. Clinical examination revealed a laceration in the temporal quadrant of the bulbar conjunctiva 0.2?0.3 mm in size and a dark tumefaction under the conjunctiva in the same region. It was identified during primary surgical exploration as a fishing sinker 1 cm in size lodged under the lateral rectus muscle. The bulbar wall was intact and the fishing sinker was safely removed. Phacoemulsification with the implantation of an artificial foldable intraocular lens and 23G pars plana vitrectomy were performed. During vitrectomy, subretinal hemorrhage in the macular region and large retinal dialysis in the temporal segment were revealed. Vitrectomy was finished with silicone oil tamponade. One week later, the patient?s BCVA of the left eye was 2/60. Eight months after surgery, spontaneous resorption of subretinal hemorrhage in the macular region and the attached retina was observed. The patient?s BCVA was 3/60 due to the destruction of photoreceptors and retinal pigment epithelium and the formation of epiretinal membrane. Conclusion. To our knowledge, this is the first case report of a severe blunt ocular injury associated with large retinal dialysis caused by a fishing sinker.

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Section: Case Reportmentioning

confidence: 99%

Uncommon severe blunt ocular injury associated with large retinal dialysis caused by a fishing sinker

et al. 2021

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“…However, rapid decompression with a lateral canthotomy and inferior cantholysis is the most effective treatment. If there are no delays in the consultant's ability to execute this treatment, it can be done by an emergency medicine specialist or an ophthalmologist [9]. Delays of more than 4 hours, is associated with poorer outcome hence vision prognosis is timesensitive found in from the If you have a globe damage or a retrobulbar hematoma, you should see an ophthalmologist right away.…”

Section: Treatment / Managementmentioning

confidence: 99%

“…Onset of symptoms. Antibiotics can be administered as a preventative measure to avoid subsequent endophthalmitis [9].…”

Section: Treatment / Managementmentioning

confidence: 99%

“…According to one study, ocular damage causes monocular blindness in one-quarter of patients. Although glaucoma is more common in children who have had blunt ocular trauma, research has revealed that visual acuity is often greater in blunt ocular injury than in penetrating ocular injury [9]. Blunt ocular trauma, on the other hand, may result in the poorest visual prognosis if the eye is burst, as this indicates that the damage happened at a high velocity Traumatic optic neuropathy also indicates a poor visual outcome.…”

Section: Prognosismentioning

confidence: 99%

“…According to another study, a quarter of people with commotio retinae or sclopetaria retinae following acute ocular trauma had a visual acuity of less than 20/30 in the eye that was injured. Following a blunt ocular trauma, visual acuity is severely impaired if there is a hyphema, retinal detachment, and/or vitreous haemorrhage [9].…”

Section: Prognosismentioning

confidence: 99%

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Blunt Trauma Associated with Scleral and Retinal Injury

Khanna

Maruthkar

Shukla

et al. 2021

JPRI

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Ruptures of the eye normally occur at the point of impact, called a direct rupture, with a strongly focused blow. Because the force is dispersed according to hydraulic law, if the force is more diffuse, the rupture will be indirect and occur in the tunic of sclera of weak location . The Physical examination commonly reveals the presence of a scleral hole of the globe following ocular trauma, however hidden perforations are common. The limbus, the area right below the ocular muscles, and the area around the optic nerve are all vulnerable locations in the sclera. A number of posterior segment abnormalities which are caused by blunt trauma, trauma to the orbit , and due to trauma related to other systemic causes. There can be several type of injuries to retina which include (commotio retinae), injury choroid, retinal pigment epithelial oedema, retinal pigment epithelial oedema (choroidal rupture), and optic nerve (evulsion of optic fibres ) which can also occur due to blunt ocular trauma. After this kind of ocular trauma, retinal detachment, traumatic macular holes may be seen. Concussive forces also lead to damage to the orbital tissues near to the globe, which can also result in injury to various structures inside the eye like (chorioretinitis sclopetaria). other types of retinal injury include Diffuse retinopathy (Putcher’s retinopathy) can be caused by systemic trauma. They tend to be circumferential rather than radial, although if the hit is powerful enough, they may spread radially. The ones near the limbus are difficult to tell apart from lacerations, while the ones further back are easy to spot.

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Posterior Retinal Breaks Secondary to Closed-Globe Blunt Ocular Trauma

Rao,

Tsui,

Trese

et al. 2024

Journal of VitreoRetinal Diseases

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Purpose: To describe 2 cases of posterior pole retinal tears resulting from closed-globe trauma. Methods: Two cases of retinal breaks in the posterior pole after blunt ocular trauma were evaluated, and the relevant literature was reviewed. Results: Two eyes of 2 patients with posterior pole retinal tears secondary to closed-globe trauma were included. One patient had a pars plana vitrectomy with laser retinopexy and gas tamponade; the final Snellen visual acuity (VA) was 20/200. The second patient was treated with indirect laser retinopexy; the final Snellen VA was counting fingers. Conclusions: The rapid deformation of the globe in response to blunt ocular trauma may create significant tangential stress on the retina, leading to stretch breaks in the posterior pole. Clinicians should follow patients with a closed-globe injury to watch for retinal breaks in the posterior pole, in particular when a hemorrhage or other pathology obscures the view.

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Posterior pole retinal tears following blunt ocular trauma

Cited by 5 publications

References 9 publications

Uncommon severe blunt ocular injury associated with large retinal dialysis caused by a fishing sinker

Uncommon severe blunt ocular injury associated with large retinal dialysis caused by a fishing sinker

Blunt Trauma Associated with Scleral and Retinal Injury

Posterior Retinal Breaks Secondary to Closed-Globe Blunt Ocular Trauma

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