A 17-year-old male with progressive visual loss and photopsia was admitted to our ophthalmology clinic. He had a history of blunt trauma with a basketball to his right eye 6 months ago and had begun to suffer from visual disturbances since then. His visual acuity (VA) was 20/400 in his right eye. Dilated fundus exam of his right eye revealed a giant tear in the superotemporal retina with a shallow retinal detachment involving the macula (Figure 1a and 1b). His visual acuity was 20/20 and anterior and posterior segments were normal in the left eye. He underwent a three-port pars plana vitrectomy for the giant tear without crystalline lens extraction. Perfluorodecaline was used intraoperatively. Three weeks postoperatively, perfluorodecaline was observed in the anterior chamber in contact with the corneal endothelium (Figure 2). No tilt or dislocation of the crystalline lens was detected on slit lamp biomicroscopy. We referred our patient to another eye clinic for ultrasound biomicroscopic (UBM) or endoscopic examination in order to determine zonular dialysis, but could not obtain these results as the patient refused (4)
After our attempt to remove the perfluorodecaline in the anterior chamber with a 27G needle failed, an anterior chamber wash was performed with balanced salt solution via two wide paracentesis. Two months after vitreoretinal surgery, his best-corrected visual acuity (BCVA) was 40/200 in the right eye. The vision and retina remained stable in his follow-up (Figure 1c).