To describe two cases of radiation retinopathy (RR) presenting with clinical and imaging characteristics of retinal artery macroaneurysm (RAM). The first case had radiotherapy to the right side of the brain 17 years prior to ocular manifestation, developed vitreous hemorrhage secondary to RAM in the right eye (RE) was managed with intravitreal anti-vascular endothelial growth factor. Second case had radiotherapy to right side of neck 6 years back, developed multiple tributary vein occlusions in RE, and was treated with sectoral laser. One year later, developed premacular and subretinal hemorrhage with RAM and managed with pars planavitrectomy and anti-VEGF. on subsequent follow up second patient had persistent cystoid macular edema which was managed with intravitreal triamcinolone acetonide and focal laser to RAM.

We report the management of a case of inadvertent full-thickness scleral penetration during rhegmatogenous retinal detachment (RRD) surgery in a 14-year-old high myope while making partial-thickness scleral tunnel for the passage of the 240 silicone band. Sudden and gross hypotony with subretinal hemorrhage were noted post-penetration. Hypotony was immediately addressed by suturing the penetration site with a 7-0 vicryl suture. Subretinal blood was removed by performing 360° relaxing retinotomy and retinectomy and the retina was attached. This case report highlights the possible reasons for the full-thickness scleral penetration and one of the various methods to handle the same.

Purpose: To report six patients with endogenous endophthalmitis as a complication of COVID-19 infection. Methods: A multicentric retrospective database review of patients with a diagnosis of endogenous endophthalmitis and a history of COVID-19 infection. Results: Four of six patients were diabetics. All presented after an average duration of 40 days (Range 17-90 days) of COVID-19 infection. Two of six patients had bilateral involvement. Five of six patients had received intravenous corticosteroid for COVID-19. Two of six vitreous samples showed fungi (Candida and Bipolaris species), two showed bacteria (Staphylococcus species) and two samples were culture negative. Control of infection with good visual outcome in four out of eight eyes. Conclusions: COVID-19 patients with a history of hospitalization and prolonged use of systemic corticosteroids and comorbidities, for example, diabetes mellitus have a high risk of endogenous endophthalmitis. A high index of clinical suspicion with timely intervention can salvage many eyes.