A case of severe macular displacement secondary to aggressive proliferative vitreoretinopathy

We report a case of severe macular displacement occurring after multiple vitrectomy surgeries for recurrent rhegmatogenous retinal detachment (RRD) associated with severe proliferative vitreoretinopathy (PVR). A 32-year-old African male underwent multiple vitrectomy surgeries for RRD with PVR. Sequential fundus photographs and Optical Coherence Tomography (OCT) documented the significant foveal displacement and macular dragging. After multiple vitrectomies the retina was successfully reattached, but a severe inferior displacement of the macula with foveal ectopia occurred, caused by the development of proliferative membranes along the chorioretinectomy edge. This report highlights a case of severe macular displacement and foveal ectopia, a rare and devastating complication of PVR that prevents favourable visual outcomes in these complex RRD scenarios. Our case contributes to the limited literature on PVR outcomes in Black Africans, suggesting a potential role of ethnic variations in the fibrotic healing responses that warrants further investigation.