This 50YO male presented with a superior macula-off retinal detachment from a single retinal tear at the 1 o’clock periphery (image not shown), which was treated with a pneumatic retinopexy. Cryotherapy was applied before injecting the gas bubble, confirming this single break.
However, when he returned 2 days later, a new giant retinal tear extended from 12 to 5 o’clock, with subretinal gas migrating beneath the superior retina.
The detachment was repaired with vitrectomy and silicone oil, and the second image shows the 1-week postoperative visit.
