Macular tractional retinal detachment: A rare complication of blunt trauma

Gadde, Santosh Gopi Krishna; Snehith, Ram; Jayadev, Chaitra; Poornachandra, B; Naik, Naveen Kumar; Yadav, Naresh Kumar

doi:10.4103/ijo.ijo_1424_20

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…Retinal detachment should be diagnosed with an enlarged eye examination to determine whether the detachment includes the central retina (macula) and in absence of involvement, the patient should undergo emergency surgery to prevent further progression that could affect central vision. 18 Our patient also had redness of the eye and blurred vision in the right eye upon admission to the ED and we decided to refer immediately the patient to the ophthalmologist.…”

Section: A Case Of Retinal Detachment Resulting From Air Bag Deploymentmentioning

confidence: 93%

A case of retinal detachment resulting from air bag deployment

et al. 2023

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ABSTRACT A motor vehicle accident (MVA) can result in death or serious injury to the driver and passengers in case the airbags are not deployed. There are, however, several reasons why an airbag can injure a passenger even when there is no accident involved. A 41-year-old female patient who suffered facial bone fractures and an retinal perforation after her air bag deflated during a minor car accident. The complaints of the patient on admission to the emergency department (ED) were facial pain, swelling and redness in the eye. Orbital CT imaging revealed fragmented fracture line displaced into the maxillary sinus at the floor of right orbit, posttraumatic changes in preorbital skin and In the right globe vitreous, an appearance thought to belong to hyperdense hemorrhage. The patient was taken to emergency operation due to corneal perforation in the right eye. All patients who present with air bag-related ocular trauma should undergo a complete ophthalmologic examination because ocular injuries that may be more serious than they initially appear.

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Section: A Case Of Retinal Detachment Resulting From Air Bag Deploymentmentioning

confidence: 93%

A case of retinal detachment resulting from air bag deployment

et al. 2023

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“…Although the laser’s wavelength or parameters in the case presented are not known, the Nd:YAG pulsed laser device possessed enough photo-disruptive power to cause a blinding, full-thickness retinal burn, resulting in a retinal and vitreous hemorrhage. The initial burn also caused a breakdown of the blood-retinal barrier, leukocyte extravasation, and the release of inflammatory mediators with thrombin and fibrin deposition at the site of the injury [ 9 , 14 ]. Over the course of several months, extensive glial proliferation and pre-retinal fibrosis developed driven by the secretion of growth factors, which distorted the macular contour with significant traction.…”

Section: Discussionmentioning

confidence: 99%

“…This management approach effectively treated the choroidal neovascularization, but, more importantly, the case presented is the first case to illustrate the utility of these agents to dramatically reverse the aggressive epiretinal scar tissue capable of deforming the macula. In rare cases, trauma-associated pre-retinal fibrosis has been reported to lead to retinal detachment [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…In cases complicated by choroidal neovascular membrane formation, the intravitreal administration of drugs targeting vascular endothelial growth factor has demonstrated efficacy; however, as seen in our case, these interventions may not always lead to vision recovery [ 5 , 6 , 15 ]. In rare instances, surgical intervention might be warranted to address late complications, including the clearance of vitreous hemorrhage, excision of scar tissue, or repair of a macular hole or retinal detachment [ 9 , 14 ]. Finally, consequences of ocular laser injuries extend beyond physical harm, potentially causing disfigurement or disability.…”

Section: Discussionmentioning

confidence: 99%

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Retinal injury from a laser skin resurfacing device during medical tourism: a public health concern

Lambert,

Tompkins,

Uber

et al. 2024

BMC Ophthalmol

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Background Laser skin resurfacing is a popular cosmetic procedure for noninvasive skin rejuvenation. Since health insurance plans often do not cover these types of procedures, patients often pay out of pocket. Consequently, there is an incentive to go abroad, where prices are more affordable. However, practitioners in destination countries may lack rigorous training on laser safety, regulatory oversight, or licensing, especially on devices used for “cosmetic” procedures. In certain cases, this can lead to tragic outcomes, especially when underqualified practitioners operate medical-grade laser devices. Case presentation A 29-year-old woman suffered a retinal burn from a handheld Q-switched neodymium-doped yttrium aluminum garnet (Nd:YAG) laser pulse device used to perform skin resurfacing treatment at a medical spa in Vietnam. The patient was not adequately informed about the potential risk to her vision and was not provided with any eye protection. A momentary, unintended laser exposure to the patient’s right eye led to irreversible vision loss due to a macular burn. This incident caused immediate pain, followed by the sudden appearance of floaters, along with a retinal and vitreous hemorrhage. Despite treatment with off-label bevacizumab for the development of a choroidal neovascular membrane, vision remained at the level of counting fingers because of the presence of the macular scar. Conclusion When utilizing laser-based devices, it is crucial to employ safety measures, such as the wearing of safety goggles or the use of eye shields to protect ocular tissues from potential damage. The growing availability of cosmetic laser devices presents a substantial public health risk, because numerous operators lack adequate training in essential safety standards, or they neglect to follow them. Furthermore, patients seeking services abroad are subject to the regulatory practices of the destination country, which may not always enforce the requisite safety standards. Further research is needed to determine regional and global incidence of laser-related injuries to help direct educational and regulatory efforts.

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“…[73] Travma hastalarında arka segmentin retinal yırtıklar açısından değerlendirilmesi ve retina dekolmanının yatıştırılması, ayrıca varsa yabancı cisimlerin çıkarılması büyük önem arz etmektedir. [74,75]…”

Section: Geriatrik Popülasyonda Cerrahi Gereksinimi Olan Arka Segment...unclassified

Traumas Affecting the Posterior Segment in Geriatric Cases

2022

Güncel Retina (Current Retina)

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Physical capacity decreasing by age can make the geriatric population more susceptible to trauma. Some of these trauma cases are ocular and can cause serious morbidity and mortality. In routine ophthalmology practice, severe vision loss may develop after blunt or penetrating trauma. Posterior segment involvement after ocular trauma in geriatric patients is directly related to the type and severity of the trauma. It is important to try to prevent ocular trauma risk that can occur in geriatric cases, taking into account the increase in the elderly population day by day in the world and the specific physiological conditions of the geriatric age. Correct management of ocular trauma that may occur in the geriatric population is very important in terms of protecting eye health and improving visual prognosis.

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Macular tractional retinal detachment: A rare complication of blunt trauma

Cited by 5 publications

References 5 publications

A case of retinal detachment resulting from air bag deployment

A case of retinal detachment resulting from air bag deployment

Retinal injury from a laser skin resurfacing device during medical tourism: a public health concern

Traumas Affecting the Posterior Segment in Geriatric Cases

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