Idiopathic bilateral retinal dialyses complicated by posterior retinal tear after blunt trauma

The purpose of this study was to present a case of posterior rupture in a previously detached retina after blunt trauma.

This is a case report.

A child with idiopathic bilateral retinal dialyzes sustained accidental blunt trauma to the left eye while awaiting surgery. This caused a posterior rupture of the retina in an already preexisting retinal detachment. The right eye underwent uneventful cryopexy and a buckle procedure. The left eye was managed conservatively while awaiting spontaneous posterior vitreous separation. Unfortunately, the retina detached further to involve the macula with progression of proliferative vitreoretinopathy. The child required three subsequent vitrectomies in the left eye to stabilize the retina.

This case highlights the etiology of retinal dialyzes and the dilemmas in the management of complicated retinal detachment.