Dr. Neelima Balakrishnan

DR.NASIQ HASAN, Dr. ROHAN CHAWLA, DR.DHEEPAK SUNDAR MALARAVANNAN

Abstract

A 30 year old male presented with history of blunt trauma OS 6 days back with a metallic object, following which he developed sudden onset diminution of vision. He had presenting visual acuity of HMCF and on examination had vitreous hemorrhage with ST Chorioretinitis Sclopetaria(3 clock hours) with no retinal detachment. Patient was planned for PPV. On inducing PVD, we found subretinal bleed from superior arcade and going inferiorly, along with macular hole through which subretinal blood was seeping into vitreous cavity. VH was cleared and retinotomy was made superotemporally and clot of subretinal blood was found. tPA(12.5 mcg/0.1mL) was injected through retinotomy and after 10 minutes, blood was removed from the macular region. BBG dye was instilled and ILM peeling was done, following which FAX was done and edges of sclopetaria were lasered. 20% SF6 was put, with prone position post operatively.

At 1 month follow up he had BCVA of 6/24 with complete resolution of subretinal bleed.