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This article describes the case of a 28-year-old man who suffered an optic nerve evulsion (ONE) after falling from a height of 5 m. On admission visual acuity in the affected left eye was light perception, direct pupillary reaction was unresponsive, and the eye was hypotonic. Because of deep eyelid laceration, hyphemia and severe vitreous hemorrhage a globe rupture was suspected and a surgical exploration with vitrectomy was performed. This resulted in the detection of an ONE. During the following 24 months a painful eyeball due to secondary glaucoma developed and enucleation of the eye became necessary.

An 89-year-old female presented with acute visual impairment and large cells in the vitreous cavity of the left eye. The patient was treated for a suspected intraocular lymphoma. In the follow-up a retinal detachment was diagnosed and treated via pars plana vitrectomy. A resection of the subretinal traction membrane following retinectomy was performed. The histological findings did not reveal any indications of a lymphoproliferative process. A ruptured choroidal neovascularization (CNV) with peripheral exudative hemorrhagic chorioretinopathy (PEHCR) and subretinal membrane formation was diagnosed. There were no signs of malignancy. The resection of a subretinal traction membrane poses a challenge for the vitreoretinal surgeon but can provide the possibility of visual improvement.

An 85-year-old male patient receiving hormone therapy for prostate cancer and secondary open-angle pseudoexfoliation glaucoma developed peripheral choroidal detachment in both eyes. The patient had been admitted to the eye hospital for clarification of a vascular occlusion in the left eye. Cerebral magnetic resonance imaging could exclude metastases and a cerebral space-occupying lesion as the cause of the ocular findings. The local antiglaucomatous treatment was interrupted and as a result the intraocular pressure normalized and the choroidal detachment receded completely. Patients with prostate cancer who receive hormone therapy should also undergo regular ophthalmological screening including funduscopy and measurment of intraocular pressure.