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Ophthalmology and Visual Sciences

Macular hole, commotio retinae, and choroidal rupture after blunt eye injury

Macular hole, commotio retinae, and choroidal rupture after blunt eye injury

Category(ies): Retina, Vitreous, Trauma
Contributor: Jesse Vislisel, MD
Photographer: Cindy Montague, CRA

This patient experienced blunt eye injury during a severe motor vehicle accident and has several retinal sequellae from the incident. Notable findings include a full-thickness macular hole and multiple arc-shaped choroidal ruptures in the inferotemporal macula. There is also a large area of hypopigmentation secondary to commotio retinae, or loss of retinal transparency secondary to photoreceptor disorganization.