Traumatic Retinal Dialysis and Submacular Hemorrhage with Secondary Macular Hole: Pull-Up Resistance Band Injury in a Teenager

PURPOSE: This report describes the use of pneumatic retinopexy (PnR) for post-trauma retinal detachment with concomitant submacular hemorrhage and traumatic macular hole. METHODS: Retrospective case report. RESULTS: A 14-year-old male with a left eye injury underwent pneumatic retinopexy (PnR) after sustained submacular hemorrhage (SMH), traumatic macular hole (MH) and an inferior temporal retinal dialysis with an associated rhegmatogenous retinal detachment (RRD). Following informed consent, the procedure involved an anterior chamber tap of 0.5 mL and injection of 0.8 mL sulfur hexafluoride (SF6) gas. Strict facedown positioning was advised postoperatively. Follow-up assessments confirmed displacement of the SMH, retinal reattachment and closure of the macular hole, despite persistent poor visual acuity due to macular atrophy. CONCLUSION: The present case demonstrates the potential use of PnR for post-trauma retinal detachment with concomitant submacular hemorrhage and traumatic macular hole.