Should Chronic Subretinal Hemorrhage Be Treated Surgically?

Abstract Closed-globe blunt ocular trauma can result in severe ophthalmic complications, in-clude ing intraocular hemorrhages, traumatic cataract, and retinopathy, whose man-agement 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, un-derwent surgical treatment using multistage vitreoretinal procedures. Despite 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 ac-tive intra- or subretinal bleeding. This case demonstrates that even after a long interval following trauma, surgical interventions may lead to partial restoration of visual func-tion and stabilization of ocular anatomy, underscoring the importance of individual-ized assessment of surgical indications in chronic post-traumatic retinal disorders.