ArticleAmerican journal of ophthalmology case reports2026
Rare association of peripapillary retinochoroidoscleral rupture and retrobulbar cyst: Clinical, imaging, and surgical insights.
Article in American journal of ophthalmology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
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.
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