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A Case of Traumatic Choroidopathy With Subretinal Fluid
Kapil Mishra1, Mustafa Iftikhar1, Roomasa Channa1
1Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Blunt ocular trauma can cause subretinal fluid (SRF), leading to vision loss. This case highlights traumatic choroidopathy as a cause of SRF after eye injury.
Area of Science:
- Ophthalmology
- Trauma Research
Background:
- Blunt ocular trauma is a significant cause of visual impairment.
- Subretinal fluid (SRF) can occur after ocular injury, but its specific etiology is not always clear.
Observation:
- A 22-year-old female presented with blurred vision post-motor vehicle accident.
- Multimodal imaging revealed significant subretinal fluid (SRF) in the macula, with fluorescein angiography showing diffuse leakage and indocyanine green angiography demonstrating patchy hypofluorescence.
Findings:
- The patient's visual acuity improved from 20/40 to 20/20 within one month.
- Resolution of SRF and angiographic findings occurred concurrently with visual recovery.
Implications:
- Subfoveal SRF collection can be a direct consequence of blunt ocular trauma.
- Traumatic choroidopathy, potentially involving choroidal hypoperfusion and retinal pigment epithelial dysfunction, is hypothesized as the underlying mechanism for SRF development.
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