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Choroidal rupture and optic atrophy

L C Glazer1, D P Han, M S Gottlieb

  • 1Department of Ophthalmology, Medical College of Wisconsin, Milwaukee.

The British Journal of Ophthalmology
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Post-traumatic optic disc pallor in eyes with traumatic choroidal rupture may indicate poorer long-term vision. This finding highlights the importance of evaluating optic nerve health after eye injuries.

Area of Science:

  • Ophthalmology
  • Traumatic Optic Neuropathy
  • Ocular Trauma

Background:

  • The relationship between post-traumatic optic disc pallor and traumatic choroidal rupture is not well-defined.
  • Understanding this association is crucial for managing ocular trauma patients.

Purpose of the Study:

  • To investigate the association between indirect traumatic choroidal rupture and post-traumatic optic disc pallor.
  • To compare ocular injury severity, fundus findings, and visual outcomes in patients with and without optic disc pallor.

Main Methods:

  • Retrospective case comparison of nine patients with indirect traumatic choroidal rupture and optic disc pallor versus those without.
  • Analysis of ocular injury characteristics, fundus examination findings, and visual acuity outcomes.

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Main Results:

  • Injury type and severity did not correlate with the risk of developing optic disc pallor.
  • Optic disc pallor was linked to slightly worse long-term visual acuity (p=0.059).
  • A relative afferent pupillary defect was strongly associated with optic disc pallor (p=0.016).
  • Peripapillary retinal pigment epithelial abnormalities were common, suggesting localized trauma.

Conclusions:

  • Post-traumatic optic disc pallor in the context of traumatic choroidal rupture may suggest a poorer visual prognosis.
  • The presence of a relative afferent pupillary defect is a significant indicator of optic disc pallor in these cases.
  • Peripapillary trauma is a likely cause of optic disc pallor following ocular injury.