A haunting glimpse into the eye’s secrets – The extraocular retina

Figure 1: Extraocular ballooning of the retina following auto-evisceration of intraocular contents through a perforated corneal ulcerPseudomonas aeruginosa is a leading cause of bacterial keratitis, resulting in severe infections, with nearly half of drug-resistant cases leading to corneal perforation.1–3 This 69-year-old female was diagnosed with infectious keratitis due to extensively drug-resistant (XDR) Pseudomonas aeruginosa. Poorly compliant with medications and follow-up, she presented 10 days later in a state of auto-evisceration, unveiling a rare inside-out visualization of the ballooning retina that could be misinterpreted as a pseudo cornea Fig. 1. Upon close examination, an unfiltered view of the retinal vasculature affected by diabetic retinopathy became visible. This rare image was captured at a critical moment, transforming pathology into an extraordinary anatomical display that reveals both the vulnerability and resilience of the human eye. It serves as a silent testament to both the vision lost and the intricate structures present within. Authors’ contributions Tithi Kundu – Design, literature search, data acquisition, manuscript preparation; Chhavi Gupta – Data analysis, manuscript editing, manuscript review; Sima Das – Concept, design, manuscript review. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient/attendant(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. They understand that their names and initials will not be published, and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.