Purpose: To present a case of retinal detachment caused by a Nerf-gun shot in a pediatric patient.Methods: Single case report.Results: A 16-year-old white man presented with a nasal visual field deficit and floaters in his left eye for 1 month after being shot with a foam-ball Nerf gun by a friend. Fundus examination revealed a midperipheral retinal dialysis extending from 1 to 4:30 clock hours with a macula-on retinal detachment and superficial proliferative vitreoretinopathy. He underwent successful 25-gauge pars plana vitrectomy with membrane peel, retinectomy, injection of perfluoron, endolaser, and use of 1,000 centistoke silicone oil for tamponade.Conclusion: This is the first reported case of traumatic retinal detachment secondary to a Nerf-gun shot.
Poor preoperative VA, perioperative complications, AMD, and delay to surgery were significant predictors of final VA following FTMH repair. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:566-570.].
Edema within Epiretinal Proliferation in a Diabetic PatientA 40-year-old woman with proliferative diabetic retinopathy status post tractional retinal detachment repair of the right eye was found to have a lamellar hole with epiretinal proliferation (Fig A). Four years later, her visual acuity declined from 20/400 to count fingers. OCT showed interval development of cystoid macular edema and cystoid spaces within the epiretinal proliferation (Fig B). Arrows localize the OCT scans on the infrared image. To our knowledge, cystoid spaces within epiretinal proliferation have not previously been reported in diabetic retinopathy. The concurrent development of epiretinal and macular edema suggests either fluid flux between the middle retina and the epiretinal material or vascular structures within the epiretinal material. Future studies with OCT-angiography could distinguish these hypotheses.
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