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Choroidal Rupture


Presentation

  • A six-year-old patient presented to the Southern College of Optometry for his first visual examination. The presenting complaint was a constant "burning of the eyes."[ncbi.nlm.nih.gov]
  • Location of the rupture but not visual acuity at presentation was predictive of visual outcome.[ncbi.nlm.nih.gov]
  • M. // British Journal of Sports Medicine;Mar2006, Vol. 40 Issue 3, p271 The article presents two clinical cases related to sports injury. A 17-year-old male ice hockey player presented with ocular blunt trauma.[connection.ebscohost.com]
  • This 3 volume set offers a comprehensive compilation which presents detailed information about ophthalmic (retinal, vitreous and macular) diseases.[eurekaselect.com]
  • Laser photocoagulation is used to arrest the growth of the neovascular membrane in both types of presentations.[ncbi.nlm.nih.gov]
Failure to Thrive
  • Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more.[books.google.com]
Retinal Pigmentation
  • PURPOSE: The aim of this study was to investigate wound healing in the retinal pigment epithelium (RPE) after traumatic indirect choroidal rupture using fundus autofluorescence (FAF) and spectral-domain optical coherence tomography (SD-OCT).[ncbi.nlm.nih.gov]
  • Five years prior to the accident, the patient suffered from a CSC attack with retinal pigment epithelium detachment.[ncbi.nlm.nih.gov]
  • Healing of choroidal ruptures involves fibrovascular proliferation from the choroid that evolves to a dense fibrous scar with variable degrees of hyperplasia of the retinal pigment epithelium (RPE). This process is usually complete by 3 weeks.[ncbi.nlm.nih.gov]
  • Peripapillary retinal pigment epithelial abnormalities were a common finding, suggesting peripapillary trauma as a cause for optic disc pallor.[ncbi.nlm.nih.gov]
  • Optical coherence tomography showed macular oedema and disruption of the retinal pigment epithelium and Bruch's membrane. The child was admitted for intravenous methylprednisolone and discharged on topical steroid treatment.[ncbi.nlm.nih.gov]
Meningism
  • ., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… … Medical dictionary Middle meningeal artery — Artery: Middle meningeal artery Plan of branches of the maxillary artery … Wikipedia Trabeculectomy — is a surgical[translate.academic.ru]
  • Ferri’s popular "5 books in 1" format provides quick guidance on short QT syndrome, microscopic polyangiitis, fungal meningitis, and much more. This medical reference makes the answers you need even easier to find - anytime, anywhere.[books.google.com]

Workup

  • This has often resulted in an extensive workup that can include MRI/MRA and echocardiography as well as a myriad of blood studies, including complete blood count, folic acid, vitamin B 12, antinuclear antibody, rheumatoid factor, erythrocyte sedimentation[retinalphysician.com]

Treatment

  • (b) A 6-month post-treatment angiogram shows the staining of choroidal rupture and scarred choroidal neovascular membrane. Figure 2 (a) Pre-treatment optical coherence tomography shows CNV complex with intraretinal oedema.[nature.com]
  • The child was admitted for intravenous methylprednisolone and discharged on topical steroid treatment. At 1 month follow-up, visual acuity had improved to 6/12.[ncbi.nlm.nih.gov]
  • Treatment of Choroidal Rupture: If choroidal neovascularization is present, treatment is centered around reducing or eliminating the neovascularization. Depending on the location of the neovascularization, laser treatment may be warranted.[artisanoptics.com]
  • Helps you make optimal use of the newest drug therapies, including Anti-VEGF treatment for wet ARMD and bevacizumab treatment for complications of diabetes.[books.google.com]
  • Bevacizumab treatment also reduced exudation from CNV.[ncbi.nlm.nih.gov]

Prognosis

  • Parametric and nonparametric statistical methods were used to evaluate visual prognosis, CNV, and retinal detachment after traumatic choroidal rupture. One hundred eleven cases were identified and reviewed.[ncbi.nlm.nih.gov]
  • BACKGROUND: There is a paucity of work in the literature examining the long-term visual prognosis of patients with choroidal ruptures.[ncbi.nlm.nih.gov]
  • Subfoveal ruptures and associated traumatic optic neuropathy denote a poor visual prognosis. Choroidal Rupture; Available from: emedicine American Academy of Ophthalmology.[eyewiki.aao.org]
  • Visual prognosis in patients with traumatic choroidal rupture. Can J Ophthalmol. 2004;39(3):260-6. Moon K, Kim KS, Kim YC. A case of expansion of traumatic choroidal rupture with delayed-developed outer retinal changes.[reviewdiseasehandbook.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Microphthalmia with or without coloboma; Etiology of microphthalmia. choroid:. Huber, Jeffrey T.; Gillaspy, Mary L. // Encyclopedic Dictionary of AIDS-Related Terminology;2000, p53 The article presents an encyclopedia entry for the term "choroid."[connection.ebscohost.com]
  • (Etiology) Choroidal Rupture is mostly caused by an eye trauma that may be direct or indirect.[dovemed.com]
  • Etiology A choroidal rupture usually is a result of a traumatic injury; it is noted three times more frequently with closed globe injuries than open globe. It is noted with both blunt and penetrating globe injuries.[eyewiki.aao.org]
  • Etiology Depending or not on the rupture of small choroidal vessels, the content within the detachment may be hemorrhagic or effusion.[radiopaedia.org]

Epidemiology

  • Previous Next Section: Epidemiology Primary prevention In order to prevent the development of a choroidal rupture, avoidance of a closed globe injury is necessary.[eyewiki.aao.org]
  • Epidemiology Frequency United States Blunt ocular trauma is the most common type of eye injury. Approximately 5-10% of patients with such injury develop a choroidal rupture.[emedicine.medscape.com]
  • Epidemiology of blinding trauma in the United States Eye Injury Registry: Ophthalmic Epidemiol. 2006;13(3):209-16. Wyszynski RE, Grossniklaus HE, Frank KE. Indirect choroidal rupture secondary to blunt ocular trauma. A review of eight eyes.[reviewdiseasehandbook.com]
  • Overview of USEIR The USEIR ( www.useironline.org ) was formed in late 1988 in recognition of the lack of a national eye injury epidemiologic data.[eyeworld.org]
  • Open globe injuries: epidemiological study of two eye clinics in germany, 1981-1999. Croat Med J. 2004;45:268-274. 3. Conn JM, Annest JL, Gilchrist J, Ryan GW. Injuries from paintball game related activities in the united states, 1997-2001.[retinalphysician.com]
Sex distribution
Age distribution

Pathophysiology

  • Offers the most comprehensive content available on retina, balancing the latest scientific research and clinical correlations, covering everything you need to know on retinal diagnosis, treatment, development, structure, function, and pathophysiology.[books.google.com]
  • Pathophysiology After blunt trauma, the ocular globe undergoes mechanical compression and then sudden hyperextension. Because of its tensile strength, the sclera can resist this insult; the retina is also protected because of its elasticity.[odlarmed.com]
  • Pathophysiology During a closed globe injury, the eyeball is first mechanically compressed and then rapidly hyperextended. The sclera's tensile strength resists this compression. The retina is elastic and stretches during such an injury.[eyewiki.aao.org]

Prevention

  • Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Some eye[medicbind.com]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • Previous Next Section: Epidemiology Primary prevention In order to prevent the development of a choroidal rupture, avoidance of a closed globe injury is necessary.[eyewiki.aao.org]
  • Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light.[icdlist.com]

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