Traumatic retinal detachment and macular hole due to exercise resistance band injuryA 20-year-old sustained a resistance band injury after adopting a home-workout routine during pandemic gym closures. He presented with an inferior retinal detachment due to a large, jagged, equatorial retinal tear; a full-thickness macular hole; and a shallow superior retinal dialysis Figure I. He underwent vitrectomy, and because of the extensive commotio, there was inadequate laser uptake. With silicone oil tamponade, laser was completed postoperatively Figure II. Following silicone oil removal, the macular hole is closed Figure II and the vision has improved from 20/400 to 20/60.
Full thickness posterior globe perforation managed with laser photocoagulationA 22-year-old male patient was urgently referred following an all-terrain vehicle (ATV) accident. On presentation, the patient had extensive bilateral periorbital fractures. Dilated fundus exam of the right eye demonstrated a full-thickness chorioretinal and scleral perforation infero-nasal to the optic disc with mild vitreous hemorrhage (Fig. 1A). Laser photocoagulation was performed around the perforation site. Three months after the injury, the patient had visual acuity of 20/20 in his right eye with complete resolution of the vitreous hemorrhage.