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Ayalon A, Okrent L, Rubowitz A. Posterior pole retinal tears following blunt ocular trauma. Am J Ophthalmol Case Rep. 2020;18:100642doi: 10.1016/j.ajoc.2020.100642.
Ayalon, A., Okrent, L., & Rubowitz, A. (2020). Posterior pole retinal tears following blunt ocular trauma. American journal of ophthalmology case reports, 18100642. https://doi.org/10.1016/j.ajoc.2020.100642
Ayalon, Anfisa, et al. "Posterior pole retinal tears following blunt ocular trauma." American journal of ophthalmology case reports vol. 18 (2020): 100642. doi: https://doi.org/10.1016/j.ajoc.2020.100642
Ayalon A, Okrent L, Rubowitz A. Posterior pole retinal tears following blunt ocular trauma. Am J Ophthalmol Case Rep. 2020 Feb 29;18:100642. doi: 10.1016/j.ajoc.2020.100642. eCollection 2020 Jun. PMID: 32154440; PMCID: PMC7056632.
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Am J Ophthalmol Case Rep. 2020 Feb 29;18:100642. doi: 10.1016/j.ajoc.2020.100642. eCollection 2020 Jun.

Posterior pole retinal tears following blunt ocular trauma.

American journal of ophthalmology case reports

Anfisa Ayalon, Lily Okrent, Alexander Rubowitz

Affiliations

  1. Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.

PMID: 32154440 PMCID: PMC7056632 DOI: 10.1016/j.ajoc.2020.100642

Abstract

PURPOSE: Posterior pole retinal tears occur rarely following blunt trauma. We describe a case of traumatic macular tears, without concurrent peripheral retinal tears or holes.

OBSERVATIONS: A 17-year-old patient presented to our emergency unit with blunt ocular trauma and multiple maxillofacial fractures after being assaulted. On examination visual acuity was 20/200 in the left eye with scant vitreous and preretinal hemorrhages. Funduscopic examination revealed multiple choroidal ruptures running concentrically to the optic disc, a subretinal macular hemorrhage, and a large macular tear in the area of the inferior vascular arcade just temporal to the macula. Optical coherence tomography revealed subretinal fluid in the foveal area, choroidal ruptures and a slight elevation of the macular retinal tear margins without subretinal fluid. Laser retinopexy was performed around the macular tear nasally. On follow-up, the retina in the lasered area remained flat, while a shallow retinal detachment had developed temporal to the tear, with a second tear appearing supero-temporally to the macula. Laser retinopexy was not possible due to surrounding subretinal hemorrhage. The clinical course was later complicated by macular detachment, necessitating pars plana vitrectomy with endolaser around the posterior tears and the retinal periphery, and silicone oil injection.

CONCLUSIONS: While traumatic macular holes and traumatic macular choroidal ruptures have both been extensively described, posterior pole and macular retinal tears following blunt trauma have rarely been reported. This case illustrates this unusual finding, discussing the possible pathogenic mechanisms and the importance of close follow-up of patients after blunt trauma with appropriate imaging.

© 2020 Published by Elsevier Inc.

Keywords: Blunt trauma; Laser retinopexy; Macular tear; Posterior pole tear; Retinal detachment; Vitrectomy

Conflict of interest statement

The following authors have no financial disclosures: Anfisa Ayalon, Lily Okrent, Alexander Rubowitz.

References

  1. J Biomech. 2013 Apr 26;46(7):1321-7 - PubMed
  2. Arq Bras Oftalmol. 2014 May-Jun;77(3):139-42 - PubMed
  3. Br J Ophthalmol. 1974 Feb;58(2):126-40 - PubMed
  4. Sci Rep. 2017 Oct 27;7(1):14184 - PubMed
  5. Transl Vis Sci Technol. 2018 Jun 7;7(3):16 - PubMed
  6. Indian J Ophthalmol. 2014 Apr;62(4):501-3 - PubMed
  7. Arch Ophthalmol. 2005 Jul;123(7):970-6 - PubMed
  8. Semin Ophthalmol. 1995 Mar;10(1):17-27 - PubMed
  9. Jpn J Ophthalmol. 1994;38(4):423-5 - PubMed
  10. Arch Ophthalmol. 1990 Mar;108(3):376-9 - PubMed

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