OSLI Retina

September 2018

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September 2018 · Vol. 49, No. 9 731 ■ I M A G E S I N O P H T H A L M O L O G Y ■ Large Traumatic Retinal Dialysis Associated With Prominent Vitreous Base Avulsion Adam J. Weiner, MD; Prethy Rao, MD, MPH; George Williams, MD ABSTRACT: A 13-year-old female with a history of regressed retinopathy of prematurity presented with new-onset floaters after sustaining blunt force trau- ma to her left eye. Best-corrected visual acuity was 20/20 in both eyes (OU), with an intraocular pres- sure of 14 mm Hg and 15 mm Hg in the right eye (OD) and left eye (OS), respectively. Exam under an- esthesia revealed an unremarkable anterior segment OU, including no hyphema or subluxated crystalline lens. Scleral depression OS demonstrated a retinal dialysis superotemporally (1-o'clock to 3-o'clock) and nasally (7-o'clock to 10-o'clock) associated with a prominent vitreous base avulsion but no subretinal fluid (Figure). Scleral depression OD was unremark- able. Both areas of retinal dialysis OS were treated with three rows of indirect green laser photocoagu- lation posterior to the edge of the dialysis. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:731.] From Beaumont Eye Institute, Royal Oak, MI (AJW, GW); Associated Retina Consultants, Royal Oak, MI (PR, GW); and Oakland University William Beau- mont School of Medicine, Rochester, MI (AJW, GW). Originally submitted May 21, 2018. Revision received May 21, 2018. Ac- cepted for publication July 24, 2018. The authors report no relevant financial disclosures. Address correspondence to Adam J. Weiner, MD, Beaumont Eye Institute, 3535 W. 13 Mile Rd. #555, Royal Oak, MI 48073; email: ajweiner7@gmail. com. doi: 10.3928/23258160-20180831-14 Figure. Ultra-widefield color fundus photograph of left eye revealing prominent vitreous base avulsion (white arrows), retinal dialysis (red arrow), and laser barricade posterior to the nasal retinal dialysis from 7-o'clock to 10-o'clock (black arrow).

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