Post-Traumatic Giant Retinal Tear Without Posterior Vitreous Detachment: A Case Series.

Abstract

To investigate the vitreal condition in retinal detachment (RD) related to giant retinal tears (GRT) after ocular blunt trauma. Retrospective, observational study conducted at Azienda Ospedaliera Universitaria Careggi, Florence, Italy. The institutional review board and ethics committee approved the study. Records of 23 eyes of 23 patients affected by traumatic RD associated with a GRT were evaluated. A total of four eyes had RD related to blunt trauma, in which the authors performed 25-gauge vitrectomy and silicone oil was used as a endotamponade. Three out of four eyes did not display a posterior vitreous detachment at the B-scan, and this was confirmed during surgery. The three eyes had a mean visual acuity of 20/32 1 month after silicone oil removal. Posterior vitreous detachment may not be present in RD associated with GRT after blunt trauma. This knowledge could result in modified intraoperative management to improve postoperative outcomes. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:686-690.].