This patient experienced blunt eye injury after bungee cord recoil. Color fundus montage photograph of the right eye shows a macular hole and peripapillary choroidal ruptures extending into the macula. There is subretinal hemorrhage and fluid inferior to the macular hole and in the peripapillary region. Optical coherence tomography (Heidelberg) demonstrates a partial-thickness macular hole with subretinal heme.
A 42-year-old woman sustained multiple ocular injuries in the setting of a high-energy blunt impact directly to her left globe (kicked by animal). Her initial presentation was notable for hyphema, ocular hypertension, iridodialysis, traumatic iritis, and vitreous hemorrhage. Upon clearance of her hyphema and vitreous hemorrhage, she was found to have a retinal detachment and was referred to our center. On presentation she had a visual acuity of 20/30 and an intraocular pressure of 13mmHg. Her fundus examination demonstrated a choroidal rupture circumferentially on the nasal aspect of the optic nerve, and a macula-sparing rhegmatogenous retinal detachment from 1:00 to 5:00 due to a retinal dialysis from 2:00 to 4:00. She underwent urgent repair with primary scleral buckle procedure.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
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