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Clinicopathologic correlation of chorioretinitis sclopetaria
S R Dubovy1, D L Guyton, W R Green
1Eye Pathology Laboratory, Wilmer Ophthalmological Institute, Baltimore, Maryland, USA.
Retina (Philadelphia, Pa.)
|January 1, 1997
Summary
This study details the long-term clinicopathologic features of chorioretinitis sclopetaria, a rare condition resulting from gunshot wounds. Findings include significant retinal damage, fibrovascular proliferation, and optic nerve hemiatrophy.
Area of Science:
- Ophthalmology
- Pathology
- Trauma Research
Background:
- Chorioretinitis sclopetaria is a rare condition caused by direct ocular trauma from projectiles.
- Understanding its long-term clinicopathologic features is crucial for managing vision loss.
Observation:
- A patient with a gunshot wound to the orbit experienced traumatic chorioretinal rupture.
- Ophthalmoscopic, fluorescein angiography, and postmortem histopathologic examinations were performed.
- Long-term clinical follow-up exceeded 20 years.
Findings:
- Histopathology revealed retinal pigment epithelium hyperplasia, epiretinal membrane, defects in Bruch's membrane, and photoreceptor loss.
- A significant defect in the choroid, Bruch's membrane, and retina was noted, replaced by fibrous connective tissue.
- Marked hemiatrophy of the optic nerve was a prominent finding.
Implications:
- Clinicopathologic features include direct rupture, fibrovascular proliferation, and secondary changes like epiretinal membranes and optic nerve damage.
- The findings highlight the severe and persistent structural alterations following traumatic chorioretinal rupture.
- This case provides valuable insights into the chronic sequelae of high-velocity ocular trauma.