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    23-Gauge PPV for a Posterior Traumatic Retinal Incarceration

    AAO 2020 Video Program
    Posterior Segment Trauma, Retina/Vitreous

    A 30-year-old male arrived to our clinic three months after a severe penetrating ocular trauma from a metal wire. On the day of his trauma, prior to his arrival, he had undergone lensectomy, pars plana vitrectomy (PPV) and closure of the corneal laceration. Our clinical exam revealed a total retinal detachment with a posterior temporal, near the fovea, retinal incarceration. During a 23-gauge PPV, a careful circumscribing retinotomy was done around the incarceration that was near the fovea. Perfluorocarbon liquid was used to flatten the retina, followed by endolaser photocoagulation. After air exchange, Oxane 5700 silicone oil was injected.