Traumatic Choroidal Rupture: A Case Report

Abstract

Purpose: Ocular blunt trauma from head injuries may cause choroidal rupture of the eye. We report an 18-year-old male patient who had choroidal rupture of the left eye. Case report: An 18-year-old male patient started to experience symptom of central scotoma after a head injury from a traffic accident. After the symptom subsided, he began to have blurred vision of the left eye. The finding of the funduscopic examination showed a linear white streak crossing the macula. Fluorescein angiographic examination revealed focal hyperfluorescence corresponding to the site of the lesion. The result of the optical coherence tomographic study demonstrated thickening and protrusion of the retinal pigment epithelium and choriocapillaris complexes with loss of photoreceptor outer segment associated with the lesion. Conclusion: Blunt ocular trauma associated with head injury may cause the choroid rupture. Patients with blunt head injuries with ocular involvement should receive complete ophthalmic examinations including funduscopic examination and clinic follow-up. Imaging examination by optical coherence tomography may also help detect the structural changes in the retinal pigment epithelium and the photoreceptor complex.