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    AAO 2022 Video Program
    Posterior Segment Trauma, Retina/Vitreous, Vitreoretinal Surgery

    This video presents a case of massive post-traumatic vitreoretinal incarceration into a wide scleral wound. The trauma was a work accident by a molten glass projection. Best-corrected visual acuity (BCVA) was light perception. Four surgeries were necessary to resolve the case. The first vitreoretinal surgery was performed 2 months after the trauma (delayed for COVID-19 reasons), and the eye showed a complete retraction of anterior and posterior segment into the original wound. After pars plana lensectomy, a hard bimanual dissection was used to separate fibrotic tissue and anterior and posterior hyaloid from retina. The second surgery managed recurrent retinal detachment from subretinal proliferative vitreoretinopathy (PVR). The third surgery was for definitive silicone oil removal and preretinal PVR dissection, and the fourth surgery was for secondary toric Carlevale intraocular lens implantation. Final BCVA was 20/100. The case demonstrates complete alteration of eye anatomy during the first attempt and good anatomical and visual outcome.

    Financial Disclosures: Dr. Umberto Lorenzi, Sr. discloses a financial relationship with DORC International bv/Dutch Ophthalmic, USA (Lecture Fees/Speakers Bureau).

    Dr. Marc Muraine discloses no financial relationships.