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]
This 3 volume set offers a comprehensive compilation which presents detailed information about ophthalmic (retinal, vitreous and macular) diseases. [eurekaselect.com]
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]
A 23-year-old man was in a motor vehicle accident 2 months before his presentation. His visual acuity is 20/400, and an afferent pupillary defect is present. Traumatic optic neuropathy and choroidal rupture are observed. [emedicine.medscape.com]
Entire Body System
- Pain
Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation. [icdlist.com]
Adequate pain relief is important This can all be prevented by having experienced it once or more simply by using eye protection. © 2009 American Academy of Ophthalmology This is a painful condition. [peterheyworth.com]
He reports the pain in the left eye has significantly improved, but his vision is a little fuzzy and he sees some floaters in the left eye. 20/125 OD, 20/20 OS. Pinhole improves in the right eye to 20/50. IOP: 15 OD, 13 OS. [retinagallery.com]
[…] may depend on the degree of trauma to the eye; in some cases, the pain may be significant The condition is normally unilateral and one eye is affected, but both eyes may be involved Mild conditions may be asymptomatic and no significant symptoms may [dovemed.com]
Pain and blepharospasm may make it difficult to open eyes. Athlete may not return to play. Apply antibiotic ointment to affected eye; 24-hour ophthalmologic follow-up is mandatory. [aafp.org]
- Weakness
Bones can become enlarged and weak. Ehlers-Danlos syndrome is a rare genetic disorder that affects the collagen in our body. [verywell.com]
Indirect rupture occurs remote from site of impact in an area of scleral weakness Phakic eye – Insertion of extraocular muscles Pseudophakic eye - Limbus 8. Scleral rupture is often occult mainly because ophthalmic examination may be limited [slideshare.net]
Rupture is commonly at the impact site, or an area of corneal or scleral weakness such as an old cataract wound. [rstb.royalsocietypublishing.org]
Eyes
- Visual Impairment
Visual outcomes can vary from full recovery to complete blindness (with or without enucleation). In the U.S., about 40,000 eye injuries result in permanent visual impairment. [eyeworld.org]
Helicoidal peripapillary chorioretinal degeneration An autosomal dominant condition presenting in childhood, characterised by strips of choroidal atrophy that variably affect the individual: there may be early age visual loss or elderly mild visual impairment [patient.info]
Symptoms include varying degree of visual impairment accompanied by either central, paracentral or arcuate scotomata VF loss. [optometricmanagement.com]
Ocular trauma is a major cause of worldwide visual impairment Of an approximately 2.4 million ocular injuries annually : MALES are affected 9 times more than females and Most victims are BELOW 40YRS 2. [slideshare.net]
- Visual Impairment
Visual outcomes can vary from full recovery to complete blindness (with or without enucleation). In the U.S., about 40,000 eye injuries result in permanent visual impairment. [eyeworld.org]
Helicoidal peripapillary chorioretinal degeneration An autosomal dominant condition presenting in childhood, characterised by strips of choroidal atrophy that variably affect the individual: there may be early age visual loss or elderly mild visual impairment [patient.info]
Symptoms include varying degree of visual impairment accompanied by either central, paracentral or arcuate scotomata VF loss. [optometricmanagement.com]
Ocular trauma is a major cause of worldwide visual impairment Of an approximately 2.4 million ocular injuries annually : MALES are affected 9 times more than females and Most victims are BELOW 40YRS 2. [slideshare.net]
- Central Scotoma
A male-to-female ratio of 5:1 is reported for choroidal ruptures.1,2 Age In most series, this condition occurs in patients aged 20-40 years.1,2 Clinical History History of blunt trauma History of angioid streaks Paracentral or central scotoma Decreased [odlarmed.com]
A 31 year old woman developed a central scotoma in the left eye that led to the diagnosis of a left sphenoid wing meningioma involving the... Traumatic optic neuropathy. [connection.ebscohost.com]
Amsler can detect any central scotoma or metamorphopsia, which indicates the development of CNV in patients who have a choroidal rupture, or macular involvement in commotio retinae. [optometricmanagement.com]
- Hypertensive Retinopathy
Hypertensive Retinopathy Iris and Ciliary Body Lacrimal System Lens Lids Neuro-Ophthalmology Optic Nerve Orbit Retina Sclera Strabismus, Ocular Motility Disorders Systemic Diseases Vitreous Z Videos Z-iPodcasts Z_Op-Videos Endorsed by iPod Podcasting [atlasophthalmology.net]
Skin
- Macula
The change occurred in the fovea in four eyes and in the macula in three eyes. The change was noted in both the fovea and the macula in two eyes; in these cases, the changes were more prominent in the fovea than in the macula. [ncbi.nlm.nih.gov]
[…] scars of posterior pole (postinflammatory) (post-traumatic) H31.011 Macula scars of posterior pole (postinflammatory) (post-traumatic), right eye H31.012 Macula scars of posterior pole (postinflammatory) (post-traumatic), left eye H31.013 Macula scars [healthprovidersdata.com]
Musculoskeletal
- Contusion
To report features of choroidal rupture and choroidal vascular injury after contusion ocular injury on indocyanine green angiography. [ncbi.nlm.nih.gov]
Ocular contusion caused by elastic cords: a retrospective analysis using the Erlangen Ocular Contusion Registry. Clin Experiment Ophthalmol. 2002;30(4):266-9. [reviewdiseasehandbook.com]
Contusion There is no (full- thickness) wound. [isotonline.org]
Traumatic choroidal ruptures can be divided into direct and indirect choroidal rupture according to the proximity of the original contusive injury site. [karger.com]
Neurologic
- Mydriasis
Pupil dilation (mydriasis) is useful for posterior segment examination, but must only be performed after the pupil reactions have been assessed, an anterior penetrating injury or globe rupture has been excluded and the anterior chamber is judged not to [rstb.royalsocietypublishing.org]
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]
Visual Field Test
- Central Scotoma
A male-to-female ratio of 5:1 is reported for choroidal ruptures.1,2 Age In most series, this condition occurs in patients aged 20-40 years.1,2 Clinical History History of blunt trauma History of angioid streaks Paracentral or central scotoma Decreased [odlarmed.com]
A 31 year old woman developed a central scotoma in the left eye that led to the diagnosis of a left sphenoid wing meningioma involving the... Traumatic optic neuropathy. [connection.ebscohost.com]
Amsler can detect any central scotoma or metamorphopsia, which indicates the development of CNV in patients who have a choroidal rupture, or macular involvement in commotio retinae. [optometricmanagement.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]
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]
Treatment for CNV includes observation, photocoagulation, surgery, and PDT; because of small sample size we cannot make recommendations regarding treatment. [iovs.arvojournals.org]
Prognosis
Prognosis - this condition recurs over months and frequent foveal involvement gives rise to a relatively poor prognosis. Multiple evanescent white dot syndrome (MEWDS) Nature - uncommon, idiopathic and self-limiting condition. [patient.info]
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]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology Depending or not on the rupture of small choroidal vessels, the content within the detachment may be hemorrhagic or effusion. [radiopaedia.org]
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 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) Choroidal Rupture is mostly caused by an eye trauma that may be direct or indirect. [dovemed.com]
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]
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]
You may be given steroid drops and dilating drops to settle the pain and help prevent a further bleed. You will be asked to take it very quietly to prevent a re-bleed. They settle after a week or two. [peterheyworth.com]
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]