Retina-Vitreous
2014 , Vol 22 , Num 1
A Rare Association of Vitreous Base Avulsion, Bruch’s Membrane Rupture and Retinal Detachment Following Blunt Ocular Trauma
1M.D., Beyoglu Eye Training and Research Hospital, Retina Clinic, İstanbul/TURKEY2M.D. Asistant, Beyoglu Eye Training and Research Hospital, Retina Clinic, İstanbul/TURKEY
3M.D. Associate Professor, Beyoglu Eye Training and Research Hospital, Retina Clinic, İstanbul/TURKEY
4Istanbul Medeniyet University, Department of Ophthalmology, İstanbul/TURKEY 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. Keywords : Trauma, vitreous base avulsion, Bruch’s membrane rupture, retinal detachment