PFCL nightmare: Scleral rupture and novel use of gelatin sponge in repair

We report a case of scleral rupture that occurred during perfluorocarbon liquid (PFCL) injection in a case of bullous rhegmatogenous retinal detachment (RD), which was managed uniquely using a gelatin sponge. So far, only two case reports of scleral rupture during PFCL injection have been reported. A 69-year-old gentleman presented with complaints of sudden-onset painless blurring of vision in his right eye and was diagnosed with pseudophakia with total bullous RD. During 23-G vitrectomy, PFCL was injected using a single-bore cannula. During FAE, the globe appeared hypotonous with choroidal folds. Scleral rupture with retinal incarceration was noted in the superotemporal quadrant. This case report illustrates further unique management.