{"id":121643,"date":"2026-02-25T19:23:18","date_gmt":"2026-02-25T19:23:18","guid":{"rendered":"https:\/\/www.atlasrleye.com\/?page_id=121643"},"modified":"2026-03-01T18:14:23","modified_gmt":"2026-03-01T18:14:23","slug":"clinical-case-3","status":"publish","type":"page","link":"https:\/\/www.atlasrleye.com\/en\/penetrating-and-perforating-ocular-trauma\/clinical-case-3\/","title":{"rendered":"Clinical Case 3"},"content":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=”TRAUMATIC AND TOXIC RETINOPATHIES” font_container=”tag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=”yes” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632808103-ebb9ab69-b1fc|”][vc_text_separator title=”” i_icon_fontawesome=”fas fa-eye” i_color=”custom” i_size=”lg” color=”custom” border_width=”8″ css=”.vc_custom_1637080776101{margin-bottom: -5px !important;}” add_icon=”true” accent_color=”#bababa” i_custom_color=”#bababa”][vc_custom_heading text=”Penetrating and Perfurating Ocular Trauma – Clinical Case 3″ font_container=”tag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=”yes” css=”” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fpenetrating-and-perforating-ocular-trauma%2F|title:TRAUMATISMOS%20OCULARES%20PENETRANTES%20E%20PERFURANTES|”]

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37-year-old patient with blunt trauma and rupture of the ocular globe. Presents with sclero-uveal rupture, hyphema, vitreous hemorrhage, peripheral and temporal retinal tear, subretinal hemorrhages, and multiple serous retinal detachments. <\/p>\n

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BCVA: 20\/25 RE, nine years after surgeries (scleral suturing of external rectus muscle disinsertion, PPV and laser photocoagulation at the margin of the retinal tear, inferior retinal detachment with proliferative vitreoretinopathy and subretinal fluid containing some blood; epiretinal membrane peeling and ILM maculorrhexis).<\/p>\n

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Evaluations
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[\/vc_column_text][vc_tta_accordion active_section=”99″ no_fill=”true” collapsible_all=”true”][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”1st Evaluation – 22 12 2012″ tab_id=”1643201210935-53e8de92-3b06″][vc_row_inner][vc_column_inner width=”2\/5″][vc_column_text css=””]<\/p>\n

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Echography<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120157″ img_size=”193×206″ css=”.vc_custom_1772065334870{margin-bottom: 0px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n

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Scleral and uveal rupture; fibrin clot in the pupillary area; hyphema.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120145,120153,120149″ img_size=”300×206″ css=”.vc_custom_1772065356514{margin-top: -30px !important;margin-bottom: 0px !important;}”][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”2nd Evaluation – postoperative – 07 01 2013″ tab_id=”1643201595004-a2d88c92-90ae”][vc_row_inner css=”.vc_custom_1772066860905{margin-bottom: 0px !important;}”][vc_column_inner width=”1\/3″][vc_column_text css=”.vc_custom_1772067043480{margin-bottom: 0px !important;}”]<\/p>\n

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Colour retinography<\/p>\n

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Hemovitreous; tear in the temporal retina.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120181″ img_size=”251×206″ css=”.vc_custom_1772365552834{margin-bottom: 0px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n

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12 days after surgery (scleral suturing of the disinsertion of the external rectus muscle \u2013 images 1 and 2). Vitreous hemorrhage. Hemovitreous.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120169,120173,120177″ img_size=”300×206″ css=”.vc_custom_1772386725594{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”3rd Evaluation – postoperative – 08 01 2013″ tab_id=”1772048007023-fc08a31e-8c7a”][vc_row_inner equal_height=”yes”][vc_column_inner width=”1\/3″][vc_column_text]<\/p>\n

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Infrared<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120229″ img_size=”193×206″ css=””][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120233″ img_size=”300×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Colour retinography<\/p>\n

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1 day after surgery. Surgery images (VPP and laser photocoagulation at the edge of the retinal tear). <\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120257,120237,120241,120245,120249,120253″ img_size=”251×206″ css=”.vc_custom_1772383838971{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n

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Multiple serous detachments (OCT 5 and 6)<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120205,120209,120213,120217,120221,120225″ img_size=”307×110″ css=”.vc_custom_1772383876062{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”4th Evaluation – 17 01 2013″ tab_id=”1771981679518-6dc2e917-7128″][vc_row_inner][vc_column_inner width=”1\/3″][vc_column_text css=””]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

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Infrared<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120305″ img_size=”193×206″ css=””][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_column_text css=””]<\/p>\n

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Red-free<\/p>\n<\/div>\n<\/div>\n

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Colour retinography<\/p>\n

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Inferior retinal detachment<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120317,120269″ img_size=”251×206″ css=”.vc_custom_1772383717326{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120309,120313″ img_size=”300×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n

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Epiretinal membrane (cellophane maculopathy)<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120273,120277,120281,120285,120289,120293,120297″ img_size=”307×110″ css=”.vc_custom_1772383812002{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”5th Evaluation – postoperative – 01 03 2013″ tab_id=”1772366910415-70f7fa9c-8c3e”][vc_row_inner][vc_column_inner width=”1\/3″][vc_column_text css=””]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120337″ img_size=”193×206″ css=””][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_column_text]<\/p>\n

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Infrared<\/p>\n<\/div>\n<\/div>\n

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Red-free<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120333″ img_size=”193×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_column_text css=””]<\/p>\n

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Colour retinography<\/p>\n

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Two weeks after surgery (inferior retinal detachment with proliferative vitreoretinopathy and subretinal fluid with some blood; epiretinal membrane peeling and ILM maculorrhexis performed); note the gas bubble.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120361″ img_size=”251×206″ css=”.vc_custom_1772383987494{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120345,120349,120353,120357″ img_size=”307×110″ css=””][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”6th Evaluation – 18 01 2019″ tab_id=”1772367147606-c2e01886-956b”][vc_row_inner][vc_column_inner width=”1\/3″][vc_column_text css=””]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120397″ img_size=”193×206″ css=””][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_column_text]<\/p>\n

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Infrared<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120369″ img_size=”193×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_column_text css=””]<\/p>\n

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Colour retinography<\/p>\n

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BCVA: 20\/20 RE. Seven years after the trauma.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120393″ img_size=”251×206″ css=”.vc_custom_1772384062320{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120389″ img_size=”300×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120373,120377,120381,120385″ img_size=”307×110″ css=””][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section i_icon_fontawesome=”far fa-calendar-alt” add_icon=”true” title=”7th Evaluation – 16 12 2021″ tab_id=”1772367443908-d8bde284-c6dc”][vc_row_inner][vc_column_inner width=”1\/3″][vc_column_text css=””]<\/p>\n

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Autofluorescence<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120437″ img_size=”193×206″ css=””][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_column_text]<\/p>\n

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Infrared<\/p>\n<\/div>\n<\/div>\n

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RNFL \u2013 Thickness Image<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120409″ img_size=”200×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_column_text css=””]<\/p>\n

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Colour retinography<\/p>\n

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BCVA: 20\/25 RE. nine years after the trauma.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120433″ img_size=”251×206″ css=”.vc_custom_1772384191569{margin-top: -30px !important;}”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text css=””]<\/p>\n

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Anterior Segment Photo<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120429″ img_size=”300×206″ css=””][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n

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OCT (B-Scan) longitudinal<\/p>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_gallery type=”image_grid” images=”120413,120417,120421,120425″ img_size=”307×110″ css=””][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_custom_heading text=”TRAUMATIC AND TOXIC RETINOPATHIES” font_container=”tag:h5|font_size:22px|text_align:center|color:%23000000″ use_theme_fonts=”yes” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fatlas%2F%231636632808103-ebb9ab69-b1fc|”][vc_text_separator title=”” i_icon_fontawesome=”fas fa-eye” i_color=”custom” i_size=”lg” color=”custom” border_width=”8″ css=”.vc_custom_1637080776101{margin-bottom: -5px !important;}” add_icon=”true” accent_color=”#bababa” i_custom_color=”#bababa”][vc_custom_heading text=”Penetrating and Perfurating Ocular Trauma – Clinical Case 3″ font_container=”tag:h1|text_align:center|color:%235f1b52″ use_theme_fonts=”yes” css=”” link=”url:https%3A%2F%2Fwww.atlasrleye.com%2Fen%2Fpenetrating-and-perforating-ocular-trauma%2F|title:TRAUMATISMOS%20OCULARES%20PENETRANTES%20E%20PERFURANTES|”][\/vc_column][\/vc_row][vc_row gap=”35″ equal_height=”yes”][vc_column width=”1\/2″][vc_row_inner][vc_column_inner width=”1\/2″][vc_single_image image=”120141″ img_size=”medium” […]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":74893,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-121643","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/121643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/comments?post=121643"}],"version-history":[{"count":5,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/121643\/revisions"}],"predecessor-version":[{"id":121884,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/121643\/revisions\/121884"}],"up":[{"embeddable":true,"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/pages\/74893"}],"wp:attachment":[{"href":"https:\/\/www.atlasrleye.com\/en\/wp-json\/wp\/v2\/media?parent=121643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}