Successful Management of Macula-Sparing Retinal Detachment Following Blunt Ocular Trauma Using Pneumatic Retinopexy

In this study, we describe a case of traumatic macula-sparing retinal detachment secondary to blunt ocular trauma, involving a large superior retinal break, and evaluate the role of pneumatic retinopexy in its successful management. A 54-year-old male sustained blunt ocular trauma resulting in a subtotal, macula-sparing retinal detachment with a large superior retinal break. He underwent pneumatic retinopexy with sulfur hexafluoride (SF₆) gas, followed by laser photocoagulation. Retinal reattachment was achieved within 24 hours. A secondary retinal break developed at follow-up and was managed successfully with focal laser. At one-month follow-up, best-corrected visual acuity was 20/40, and complete anatomical reattachment was maintained. This case highlights the expanding role of pneumatic retinopexy in selected trauma-induced retinal detachments, emphasizing the importance of patient selection, positioning compliance, and early detection of additional pathology.