A 11-year-old boy presented with a 12-day old injury to the left eye. Examination revealed traumatic uveitis and mydriasis in the left eye. Fundus examination of the left eye showed a curved yellowish gray sub-retinal lesion at the macula involving the fovea []. Minimal sub-retinal bleed and a resolving vitreous hemorrhage were also noted. The right eye was normal.\nSSOCT scan done at presentation showed a break in the RPE/BM complex measuring 465 μm at the fovea. There was hyper reflective tissue extending from the outer nuclear layer of the retina to the choriocapillary layer. Ellipsoid and ELM layer could not be made out clearly [].\nTwo weeks later when the inflammation cleared, the vision improved to 6/18 from 6/60 in the left eye. Seven weeks after injury, the vision dropped to 6/36 and the SSOCT showed fibrous tissue invading all the neuro-retinal layers at the foveola []. In one area, fibrous tissue was seen extending into the vitreous cavity too []. There were a few cystic areas seen in the nuclear layers of the retina. OCTA showed normal inner and outer retinal layer vascularization. The tissue pattern at the level of the RPE was absent in the area of the rupture with no new vessels. At the level of the choriocapillaries, there were vessels in the scar tissue [].
A 46-year-old male army colonel sustained blunt injury to the right eye following direct contact with a tennis ball to the closed eyelid. Three hours later, visual acuity was 20/30 in the right eye and 20/20 in the left eye with central corneal abrasion, mild anterior chamber cells, flare, and a localized gray-white oval discoloration in the macula of the right eye. Topical corticosteroid ointment and systemic corticosteroid (50 mg prednisone daily for 5 days) were started. At 20 h following trauma, high-definition SD-OCT and OCTA were obtained through clear cornea.