Abstract

A 27 year old patient came with history of trauma with tennis ball 3 hours ago with sudden painful loss of vision. At presentation he had traumatic mydriasis with total traumatic cataract, B-scan showed VH with retinal detachment not involving macula. Patient was taken up for a surgery and intra operatively patient was found to be a case of operated VR surgery in childhood (which patient does not have any memory of) and retinal detachment happened due to internal choroidal rupture and retinal break at the edge of buckle indent.
Patient was successfully operated. Post operatively at one month due to elevated IOP silicone oil started leaking via the inner choroidal rupture and accumulating sub conjunctivally.
We show in the video our ordeals in managing them and how we were eventually able to give a successful visual outcome to the patient.
The video shows how the surgeon should always be thinking on his feet and be ready to expect even the most unusual complications post operatively.