A rare association of vitreous base Avulsion, bruch's membrane rupture and retinal detachment following blunt ocular trauma

Abstract

A 16-year-old male presented with decreased visual acuity that developed immediately after a stick blow to his right eye. His visual acuity was 20/63 in the right eye and 20/20 in the left, and the intraocular pressures were 37 mmHg and 14 mmHg in the right and left eyes. Fundus examination showed a traumatic rupture in Bruch's membrane which passed close to the fovea and a vitreous base avulsion at the inferior quadrant. Ten days following the first examination, a small retinal break and localized retinal detachment was observed. The patient underwent pars plana vitrectomy, endolaser photocoagulation, and gas injection. Visual acuity improved to 20/25 and the retina remained attached at the last visit. This report from this extraordinary case shows the importance of close follow-up and prompt surgical intervention to obtain desirable final visual acuity.