A man presented with a penetrating ocular fishhook injury of the right eye. There were early clinical signs of endophthalmitis on exam. A cut-out technique was used to remove the fishhook, followed by repair of the corneal laceration with sutures and cyanoacrylate glue. Given the signs of endophthalmitis, pars plana vitrectomy was performed, during which a suprachoroidal hemorrhage with overlying retinal detachment was encountered. No breaks were found on peripheral shave vitrectomy and C3F8 gas tamponade was used. Vancomycin, ceftazidime, and voriconazole were injected intravitreally.
Uploaded on: 05/23/2022