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.
Department of Ophthalmology, Kurashiki Central Hospital, Kurashiki, Japan.
Kohei
K
Takayama
Tsutomu
T
Yasukawa
Morio
M
Okada
Aki
A
Sumida
Norio
N
Watanabe
Sunao
S
Uchida
D000062:Accidents, Occupational; D003252:Construction Materials; D005131:Eye Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006988:Hyphema / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000000981:diagnostic imaging / Q000209:etiology; D012421:Rupture; D012590:Sclera / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014792:Visual Acuity; D020255:Vitreous Detachment / Q000000981:diagnostic imaging / Q000209:etiology; D014823:Vitreous Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery