Courtesy of Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Department of Ophthlamology, Mumbai. Submitted by Aman Dalal, MBBS, MS.
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Cornea/External Disease, Retina/Vitreous
The patient presented with a subhyaloid hemorrhage and diminished vision over the past week. It was a countrecoup occupational injury caused by a rubber ball. A boat-shaped (generally) subhyaloid hemorrhage occurs between posterior face of the vitreous and the Inner limiting membrane. It can occur secondary to vascular disorders, hematological malignancies, arteriovenous communication, or with physical exertion or trauma. Although managed conservatively, macular involvement may warrant Nd:YAG laser hyaloidotomy, as it may progress into epiretinal membrane, pigment epithelium changes and atrophy. Occupations predisposed to risk of trauma warrant protective gear implementation on an active basis.