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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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The choroidal rupture: current concepts and insights.

Marco Lupidi1, Alessio Muzi2, Greta Castellucci2

  • 1Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, Perugia, Italy; Fondazione per la Macula Onlus, Di.N.O.G.Mi., University Eye Clinic, Genova, Italy; Centre de l'Odéon, Paris, France.

Survey of Ophthalmology
|February 5, 2021
PubMed
Summary

Choroidal rupture, a traumatic eye injury, damages the retina and underlying structures. While direct treatment is unavailable, managing complications is key to preserving vision.

Keywords:
Blunt traumaChoroidal neovascularizationChoroidal ruptureCommotio retinaeFluorescein angiographyIndocyanine green angiographyOCTOCT angiographyOcular traumaRetinal detachment

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Area of Science:

  • Ophthalmology
  • Traumatic Eye Injury
  • Retinal Diseases

Background:

  • Choroidal rupture is a posterior segment injury caused by trauma.
  • It involves breaks in the retinal pigment epithelium, Bruch membrane, and choriocapillaris.
  • Visual prognosis is poor if the macula is involved or comorbidities exist.

Purpose of the Study:

  • To describe the pathophysiology of choroidal rupture.
  • To review recent multimodal imaging findings.
  • To outline treatment options for associated complications.

Main Methods:

  • Funduscopic examination for lesion identification.
  • Multimodal imaging: fluorescein angiography, indocyanine green angiography, optical coherence tomography (OCT), and OCT angiography.
  • Review of existing literature on pathophysiology and management.

Main Results:

  • Funduscopic view: whitish/yellowish, curvilinear/crescent-shaped lesions with specific endings.
  • Multimodal imaging aids in assessing damage extent and complications.
  • No direct treatment for rupture; focus on managing complications like glaucoma, detachment, or neovascularization.

Conclusions:

  • Choroidal rupture requires careful monitoring due to potential vision loss.
  • Advanced imaging techniques are crucial for diagnosis and management planning.
  • Therapeutic interventions target complications, not the rupture itself.