Abstract

A 19-year-old male came to us with complaints of diminution of vision in the left eye for the past 4 days. He had a history of blunt trauma to LE. On examination, his BCVA in LE was HMCF PL+ve PR Accurate. Anterior Segment was unremarkable while on posterior segment evaluation, massive sub-retinal haemorrhage was seen. The thickness of Subretinal Haemorrhage was more than 1000 um on OCT. There was a macular hole evident on OCT. The patient was taken up for a vitrectomy. After Anterior and core Vitrectomy, PVD was completed. Sub-retinal Tissue Plasminogen Activator was injected using a 38 gauge cannula. Upon injection, sub-retinal haem started oozing from the macular hole. After TPA Injection, ILM Peeling (Inverted Flap Technique) was done and Fluid Air Exchange was followed by SF6 Gas Injection. Patient was advised Prone positioning. 2 weeks later, the patient recovered to 6/9 N6. Sub-retinal heamorrhage had absorbed. There was a Choroidal Rupture present juxta-foveal.