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CASE REPORT article

Front. Med.

Sec. Ophthalmology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1511514

Thermal ocular injury associated with retinal necrosis and vitreous inflammation: A case report

Provisionally accepted
  • 1Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China
  • 2Department of Ophthalmology, Peking University People’s Hospital, Beijing, Beijing Municipality, China

The final, formatted version of the article will be published soon.

Background: A case of thermal ocular injury associated with retinal necrosis and vitreous inflammation is reported.A 53-year-old man's right eye was hit by a heated screw, which embedded directly into the nasal orbit. Two weeks after the foreign body was removed, serious vitreous inflammation and a large yellow-white lesion on the nasal peripheral retina, which resembled a subretinal abscess, were observed. Endophthalmitis could not be ruled out and vitrectomy was performed. During vitrectomy, we identified the yellow-white lesion as retinal necrosis and edema, with localized retinal detachment within the lesion. After surgery, there was significant macular atrophy with poor vision.Thermal retinal burns must be differentiated from infectious endophthalmitis to ensure timely anti-inflammatory treatment.

Keywords: Thermal retinal burns, Retinal necrosis, Endophthalmitis, sclera ischemia, Vitrectomy

Received: 15 Oct 2024; Accepted: 05 Jun 2025.

Copyright: © 2025 Gu, Guo, Lei and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Rui Jiang, Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China

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