Foveal tear secondary to blunt ocular trauma

Abstract

A thirteen-year-old male presented with sudden visual loss after being hit with a hard object in the right eye five days before. His visual acuity was in hand motions level. Fundus examination showed an envelope-shaped foveal tear, and a shallow retinal detachment at the posterior pole with an additional small retinal break temporal to the fovea. Optical coherence tomography confirmed the presence of full thickness neuroretinal tear in the fovea associated with intact Bruch's membrane/retinal pigment epithelium complex. The patient underwent three-port pars plana vitrectomy, internal limiting membrane peeling and injection of silicone oil tamponade. Visual acuity improved to 20/1250 after three months of follow-up and retina was attached despite the presence of a large neurosensorial retinal defect at the macula. Although foveal tear and retinal detachment were successfully treated by pars plana vitrectomy and silicone oil tamponade, prognosis of this type of injury was not favorable and visual outcome was poor. © 2015 Hematolojik Hastaliklarda Góz Bulgulari.