Choroidal Rupture and Subretinal Hemorrhage
Clinical Features:
Choroidal ruptures typically occur concentrically to the optic nerve, most commonly temporally and involving the macula (Fig. 19.2.1 and Fig. 19.2.2). There is usually associated hemorrhage in the acute setting, which may be intraretinal or subretinal in location. Over time, the hemorrhage will clear, leaving an arc-shaped area of subretinal de-pigmentation with clumps of hyperpigmentation. Secondary CNV can occur months or years after trauma resulting in further visual loss.
Figure 19.2.1 Color photograph of two separate choroidal rupture sites (arrowheads) and shallow overlying subretinal hemorrhage two weeks following blunt trauma. (Courtesy of Jeffrey S. Heier, MD.)
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