The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
	The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

a

a

Giant tear with retinal detachment

by Dr Adrian Koay and Professor Chua Chung Nen

A 52-year old man complained of sudden onset loss of vision which began at the lower visual field. The visual acuity was counting finger and slit-lamp examination revealed tobacco dusts and a large bullous retinal detachment. There was a giant retinal tear (involving at least three clock hours of the retina or 90⁰ circumference of the retina). He was admitted for vitrectomy and silicone oil tamponade.

Bullous retinal detachment. View through the central part of a 3-mirror.

Giant retinal tear with retinal vessels crossing the tear. View through a superfield.

Fundal camera of the tear.

Next Case of Posterior Segment