Rare Association of Peripapillary Retinochoroidoscleral Rupture and Retrobulbar Cyst: Clinical, Imaging, and Surgical Insights Publisher



Sadeghi Y ; Asadi Khameneh E ; Mirzaei A ; Rajabi MT ; Aghajani A ; Mohammadi N ; Rafizadeh SM
Source: American Journal of Ophthalmology Case Reports Published:2026

Abstract

Purpose A 17-year-old male presented with persistent visual loss and extensive orbital wall fractures following severe head and orbital trauma sustained in a motor vehicle accident. Observations He was found to have a full-thickness peripapillary retinochoroidoscleral rupture associated with a retrobulbar cyst, possibly related to post-traumatic communication through the retinochoroidoscleral defect. Management consisted of barrier laser photocoagulation, lateral orbitotomy with cyst drainage, and primary scleral repair. Postoperatively, the patient developed a submacular hemorrhage, which was managed with intravitreal gas injection. Subsequently, orbital reconstruction with a Medpor wedge implant was performed to correct enophthalmos. Conclusions and importance This rare case underscores the unusual association of traumatic globe rupture with retrobulbar cyst formation and highlights the surgical challenges as well as the long-term functional and cosmetic outcomes. © 2026 The Authors.