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Related Experiment Videos

Choroidal rupture associated with forceps delivery.

M F Estafanous1, M Seeley, E I Traboulsi

  • 1Department of Pediatric Ophthalmology and Strabismus and the Center for Genetic Eye Diseases, The Cole Eye Institute, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.

American Journal of Ophthalmology
|August 6, 2000
PubMed
Summary
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Forceps delivery can rarely cause choroidal rupture, a serious eye injury, even without visible external signs of trauma. This case highlights the importance of considering ocular complications after difficult deliveries.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Obstetrics

Background:

  • Forceps delivery is an obstetric procedure used to assist childbirth.
  • Ocular trauma in neonates can lead to significant visual impairment.
  • Choroidal ruptures are tears in the choroid, a vascular layer of the eye.

Observation:

  • A case report of a 4-year-old boy with a pre-existing retinal scar in the right eye.
  • The patient had a history of forceps delivery and bitemporal ecchymoses at birth.
  • No other history of trauma was reported.

Findings:

  • Ophthalmoscopic examination revealed linear scars consistent with choroidal rupture in the posterior pole of the right eye, including the macula.
  • Visual acuity in the affected eye was significantly reduced (counting fingers).

Related Experiment Videos

  • Both anterior segment examination and the left eye examination were normal.

    • Implications:

    • Forceps delivery is a potential, albeit rare, cause of choroidal rupture in infants.
    • Ocular trauma from forceps delivery may occur without obvious external signs of injury.
    • Early recognition and management of such injuries are crucial for preserving vision.