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Two cases of retinal detachment in commotio retinae are presented. Both had a successful outcome with scleral buckling alone, without subretinal fluid drainage or retinopexy.
A 22-year-old man was referred to our unit 2 days after blunt trauma to his right eye. On examination, his visual acuities were 6/9 and 6/6 in the right and left eyes, respectively. Abnormal findings included mild right traumatic uveitis, a mild right vitreous haemorrhage, and a large area of superotemporal commotio retinae in the detached retina, and no posterior vitreous detachment. This was associated with a large peripheral retinal tear, extending from 10:00 to 12:00 h. As signs of progression were noted while the macula remained attached, the patient underwent scleral buckling surgery with a type 277 scleral buckle. To prevent further inflammation and breakdown of the blood–retinal barrier, neither cryotherapy nor subretinal fluid …