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Giant Retinal Hole and Retinal Detachment following Exercise Band Injury: A Case Report

Justin A. Chen, Michael Y. Zhao, L. Rohowetz, Harry W. Flynn

Case Reports in Ophthalmology, 2026

Abstract

Abstract Introduction Elastic resistance bands have been widely adopted in exercise programs for all age-groups. However, increased use of these resistance bands has been associated with a rise in blunt facial and ocular injuries, of which severe ones may require surgical intervention. Case Presentation A 15-year-old male with high myopia presented 2 weeks after being struck in the left eye by an exercise resistance band. Examination revealed a large 12 mm × 15 mm retinal hole with rolled edges in the temporal periphery and a macula-involving retinal detachment with early proliferative vitreoretinopathy in the left eye. Following 3 vitreoretinal surgeries, retina reattachment was accomplished. At last follow-up at postoperative year 1 from the 3rd surgery, best-corrected visual acuity was 20/40 with a gas-permeable contact lens. Conclusion This case report demonstrates that favorable visual outcomes may be achievable despite macula-involving rhegmatogenous retinal detachment and early proliferative vitreoretinopathy from an elastic band injury.

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