Abstract

A 50-year-old male presented with diminution of vision in his left eye for 15 days following blunt trauma. The patient denied light perception in his left eye. Vitreous hemorrhage was noted in the left eye, obscuring fundus evaluation. The ultrasound revealed multiple vitreous echoes with possible retinal detachment. The flash visual evoked potential showed non recordable waveforms. A diagnosis of left eye post blunt trauma vitreous hemorrhage with possible retinal detachment was made. A posterior globe rupture with vitreo-retinal incarceration and scarring was noted on table. Lensectomy, vitrectomy with relaxing retinectomy along with endo laser photocoagulation, and silicone oil insertion were performed. At 6 weeks, BCVA improved from NPL to 6/15, N18, in the left eye. A second procedure was done to relieve retinal traction and settle the retina. At 6 months left eye IOP was 14mmHg, aphakic correction with +2.50 D improved to 6/9, N6 and the retina was attached with oil in situ.