Multimodal Imaging in a Patient with Traumatic Choroidal Ruptures

Area of Science:

• Ophthalmology
• Medical Imaging
• Trauma Care

Background:

• Blunt ocular trauma is a significant cause of vision impairment.
• Traumatic choroidal ruptures require careful diagnosis and monitoring to prevent complications.

Observation:

• A 17-year-old male presented with reduced visual acuity after blunt ocular trauma.
• Fundus examination revealed peripapillary choroidal ruptures in the right eye.

Findings:

• Optical coherence tomography angiography (OCT-A) demonstrated breaks in the choriocapillaris with hypointense lesions.
• Hyperintense projections of underlying choroidal vasculature were visible along the breaks.
• Retinal vascular plexa remained unaffected.

Implications:

• Multimodal imaging, particularly OCT-A, enhances the evaluation of traumatic choroidal ruptures.
• Regular fundus examinations and close follow-up are crucial after blunt ocular trauma.
• OCT-A may offer a noninvasive alternative to fluorescein angiography and indocyanine green angiography for evaluating choroidal ruptures.