Incarceration of asteroid bodies in sclerotomy wound following pars plana vitrectomy

A 78-year-old man had markedly decreased vision thought to be caused by severe bilateral asteroid hyalosis. Pars plana vitrectomy was performed on one eye, but the patient died shortly after surgery. At autopsy, the sclerotomy site was gaping with vitreous containing asteroid bodies in the wound and surrounding the closing suture. We speculate that wound gaping with vitreous incarceration may be more common than previously suspected.