Vitrectomy surprise hit hard

Author: MOHD FAIZAL BIN ZOKRI (Malaysia)

Co-authors: Birapadian Shiva Manjare, Abu Talib Dian Nadia, Hussein Siti Husna, Naffi Ainal Adlin, Mustapha Mushawiahti, Othmaliza Othman

Purpose

To report the management of occult posterior globe rupture which was detected during vitrectomy

Setting/Venue

Ophthalmology Department, National University of Malaysia, Jalan Ya'acob Latif, Bandar Tun Razak, Cheras 56000 Kuala Lumpur Malaysia

Methods

A case report

Results

A 54 year-old gentleman presented with history of poor vision for 3 months with unnoticed prior history of trauma. Anterior segment was normal. He was diagnosed with subtotal bullous RRD with no apparent tear seen. Vitrectomy was commenced and upon exploration, there was posterior globe rupture with retinal and vitreous incarceration. Suturing of the scleral wound was done with heavy liquid in situ in the same setting. Orbital imaging post-surgery revealed the presence of hyperdense intraorbital foreign body. We will be sharing our video of intraoperative management.

Conlusions

This is an unusual presentation of posterior globe rupture. Not only it was unnoticed by the patient but lack of evidence on the anterior segment findings. Detection of posterior globe rupture remained a challenge which require high index of suspicion with appropriate management.

Financial Disclosure

Ophthalmology Department National University of Malaysia Postgraduate Master Student in Ophthalmology