HOSPITALIZATION: The patient was hospitalized and treated with intravenous antibiotics to forestall infection. He was monitored for the development of retinal tear and detachment by slit lamp examination (searching for vitreous traction bands) and indirect ophthalmoscopy. He was kept in the hospital for 4 days to undergo a course of IV antibiotics and to be monitored closely. He was given topical antibiotic, steroid, and cycloplegic drops.

VISUAL ACUITY: On the second postoperative day, visual acuity was 20/100 with improvement to 20/60 OS with a pinhole.

SLIT LAMP EXAMINATION: Examination of the left eye showed moderate anterior chamber reaction, no hypopyon, a clear lens, and persistent vitreous traction bands in the 5:30- and 6-o’clock position. The vitreous findings directed our attention to the inferotemporal quadrant on indirect ophthalmoscopy.

FUNDUS EXAM: Careful fundus examination revealed 2 small retinal holes, 180 degrees from the original scleral laceration in the 5:30-o’clock meridian.