# Should Chronic Subretinal Hemorrhage Be Treated Surgically?

## TL;DR

This paper presents a case where surgery improved vision in a patient with chronic retinal issues from old eye trauma.

## Contribution

The study highlights successful surgical intervention for chronic subretinal hemorrhage after long-term trauma.

## Key findings

- Visual acuity improved significantly from 2.0 logMAR to 0.52 logMAR after surgery.
- Imaging confirmed retinal attachment and no active bleeding post-treatment.
- Surgical treatment can restore partial vision in chronic post-traumatic retinal disorders.

## Abstract

Closed-globe blunt ocular trauma may lead to severe ophthalmic complications, including intraocular hemorrhages, traumatic cataract, and retinopathy, the management of which remains a significant clinical challenge. We report the case of a 55-year-old male who, 15 years after right-eye trauma and unsuccessful conservative therapy, underwent surgical treatment using multistage vitreoretinal procedures. Despite an initially poor functional prognosis, a marked improvement in visual acuity was achieved, from 2.0 logMAR at baseline to 0.52 logMAR after completion of treatment. Imaging (OCT, B-scan ultrasonography) confirmed complete retinal attachment and the absence of active intra- or subretinal bleeding. This case demonstrates that, even after a long interval following trauma, vitreoretinal surgical interventions may lead to partial restoration of visual function and stabilization of ocular anatomy, underscoring the importance of individualized assessment of surgical indications in chronic post-traumatic retinal disorders.