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Editor,—In patients with no light perception (NLP) vision following extensive subretinal haemorrhage, visual recovery rarely occurs. In this patient, however, visual recovery occurred after total retinal detachment with massive subretinal haemorrhage of 3 months’ duration. The eye, which had NLP vision, developed obstructed angle closure glaucoma that necessitated a subretinal tap and an anterior chamber deepening procedure. Further removal of blood from the vitreous resulted in counting fingers (CF) vision, suggesting that surgery may restore some vision despite relatively long lasting massive subretinal haemorrhage.
A 60-year-old woman with total retinal detachment, severe ocular pain, and NLP vision was referred to us. The eye had a dark pupillary reflex, and the fundus was obscured upon ophthalmoscopy. On slit-lamp examination, a retinal detachment was observed behind the lens and blood cells were seen percolating slowly behind the detached retina. The detached retina pushed the lens-iris diaphragm forward, making the anterior chamber extremely shallow. The filtration angle was …