American journal of ophthalmology case reports · 2026
Rare association of peripapillary retinochoroidoscleral rupture and retrobulbar cyst: Clinical, imaging, and surgical insights.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Sadeghi Yasaman, Asadi Khameneh Esmaeil, Mirzaei Arash, Rajabi Mohammad Taher, Aghajani Amirhossein, Mohammadi Nader, Rafizadeh Seyed Mohsen
Аннотация
PURPOSE: A 17-year-old male presented with persistent visual loss and extensive orbital wall fractures following severe head and orbital trauma sustained in a motor vehicle accident.
OBSERVATIONS: He was found to have a full-thickness peripapillary retinochoroidoscleral rupture associated with a retrobulbar cyst, possibly related to post-traumatic communication through the retinochoroidoscleral defect. Management consisted of barrier laser photocoagulation, lateral orbitotomy with cyst drainage, and primary scleral repair. Postoperatively, the patient developed a submacular hemorrhage, which was managed with intravitreal gas injection. Subsequently, orbital reconstruction with a Medpor wedge implant was performed to correct enophthalmos.
CONCLUSIONS AND IMPORTANCE: This rare case underscores the unusual association of traumatic globe rupture with retrobulbar cyst formation and highlights the surgical challenges as well as the long-term functional and cosmetic outcomes.
OBSERVATIONS: He was found to have a full-thickness peripapillary retinochoroidoscleral rupture associated with a retrobulbar cyst, possibly related to post-traumatic communication through the retinochoroidoscleral defect. Management consisted of barrier laser photocoagulation, lateral orbitotomy with cyst drainage, and primary scleral repair. Postoperatively, the patient developed a submacular hemorrhage, which was managed with intravitreal gas injection. Subsequently, orbital reconstruction with a Medpor wedge implant was performed to correct enophthalmos.
CONCLUSIONS AND IMPORTANCE: This rare case underscores the unusual association of traumatic globe rupture with retrobulbar cyst formation and highlights the surgical challenges as well as the long-term functional and cosmetic outcomes.