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Buckle, no cryo: scleral buckle with no cryotherapy for retinal detachment secondary to commotio retinae
  1. M A Majid,
  2. H M Hussain,
  3. R J Haynes,
  4. A D Dick
  1. University of Bristol, Bristol Eye Hospital, Bristol, UK
  1. Correspondence to: M A Majid University of Bristol, Bristol Eye Hospital, Lower Maudlin Street, Bristol, BS9 4SB, UK; m.a.majid{at}blueyonder.co.uk

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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 …

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