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TRAUMATIC AND TOXIC RETINOPATHIES

Choroidal Rupture

Clinical Case 01

Choroidal Rupture - Clinical Case 01

Fundus photograph of choroidal rupture after blunt trauma showing several hemorrhages at the posterior pole and around the optic disc. Visual acuity: < 20/400 LE

Choroidal Rupture - Clinical Case 01

Fundus photograph in same case, after treatment. Visual acuity: 20/22 LE

Evaluations

1st evaluation

18 0

19 10 2010 - Anterior Segment Photo

Anterior segment photograph in a 36-years-old female patient who suffered a traumatic injury with an umbrella. Visual acuity: < 20/400 LE

The trauma caused lens subluxation, temporal capsular rupture and vitreous prolapse into the anterior chamber

19 10 2010 - Autofluorescence

Autofluorescence photograph showing retinal hemorrhages

19 10 2010 - Colour Retinography

Ultra-widefield photograph of choroidal rupture after blunt trauma showing several hemorrhages at the posterior pole and around the optic disc. Visual acuity: < 20/400 LE

Ultra-widefield photograph of choroidal rupture showing several retinal hemorrhages and retinal detachment at the temporal inferior periphery

Fundus photograph of choroidal rupture after blunt trauma showing several hemorrhages at the posterior pole and around the optic disc. Visual acuity: < 20/400 LE

Ultra-widefield photograph (magnification)

19 10 2010 - Infrared

Infrared photograph of choroidal rupture

19 10 2010 - Microperimetry

19 10 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing macular retinal detachment

OCT vertical line-scan showing macular retinal detachment and deformation of retinal structure

OCT line scan showing retinal wrinkling and discontinuity of the RPE / choriocapillaris hyperreflective band

19 10 2010 - Red-free

Red-free photograph showing distortion on retinal structure in same case

2nd evaluation - postoperative

17 0

21 10 2010 - Anterior Segment Photo

Two days after cataract surgery and vitrectomy

Anterior segment photograph showing fibrine in the anterior chamber, 1 week after surgery

Photograph, 8 days after surgery, shows moderate corneal edema

Corneal edema, 9 days after surgery

Anterior segment photograph showing total corneal recovery

21 10 2010 - Autofluorescence

Two days after cataract surgery and vitrectomy

21 10 2010 - Colour Retinography

Ultra-widefield photograph, two days after cataract surgery and vitrectomy

Ultra-widefield photograph, 2 weeks after surgery shows gas bubble

21 10 2010 - OCT B-Scan (Longitudinal)

Decrease of foveal depression

OCT line-scan shows the retinal recovery, 2 weeks after surgery

3rd evaluation

11 0

08 12 2010 - Anterior Segment Photo

2 months after surgery. VA: 20/22 LE

08 12 2010 - Autofluorescence

2 months after surgery. VA: 20/22 LE

08 12 2010 - Colour Retinography

Ultra-widefield photograph showing chorioretinal scars and absorption of retinal hemorrhages, 2 months after surgery

Ultra-widefield photograph (magnification)

08 12 2010 - OCT B-Scan (Longitudinal)

OCT vertical line-scan 2 months after surgery shows minimal macular edema

08 12 2010 - Red-free

Red-free photograph, 2 months after surgery, reveals multiple lines of choroidal rupture, concentric with the optic nerve and located temporally

4th evaluation

13 0

05 04 2011 - Anterior Segment Photo

5 months after surgery

05 04 2011 - Colour Retinography

5 months after surgery

Ultra-widefield photograph (magnification) of posterior pole suggests macular edema

05 04 2011 - Fluorescein Angiography

Fluorescein angiogram at arterial phase

Fluorescein angiogram at early phase shows some leakage in macular area

05 04 2011 - OCT B-Scan (Longitudinal)

Severe macular edema

05 04 2011 - Red-free

Red-free photograph showing macular changes

5th evaluation

22 0

30 04 2011 - Anterior Segment Photo

A small fragment of the dexamethasone implant has moved to the anterior chamber causing corneal edema

Magnification of the small fragment of dexamethasone implant in the anterior chamber shows corneal changes

Magnification of the small fragment of dexamethasone implant in the anterior chamber shows corneal changes

Photograph of anterior segment after removal of the piece of dexamethasone implant from the anterior chamber

Photograph magnification of the cornea bullous epithelial edema

Slit lamp photograph demonstrates loss of corneal transparency, related to stromal and epithelial edema

19 04 2011 - Colour Retinography

8 days after intravitreal injection of dexamethasone implant

Ultra-widefield photograph magnification of retinal periphery shows the intravitreal implant (bottom left corner)

30 04 2011 - Corneal Topography

19 04 2011 - OCT B-Scan (Longitudinal)

OCT line-scan 8 days after intravitreal injection of dexametasone implant showing recovery from macular edema

30 04 2011 - OCT, Cornea

OCT line-scan of the anterior segment, showing hyperreflective structure, with posterior shadowing, corresponding to the fragment of dexamethasone implant

19 04 2011 - Red-free

8 days after intravitreal injection of dexamethasone implant

30 04 2011 - Specular Microscopy

6th evaluation

7 0

06 05 2011 - Anterior Segment Photo

The cornea becomes normal, 1 week after removal of the piece of dexamethasone implant from the anterior chamber

06 05 2011 - Autofluorescence

06 05 2011 - Corneal Topography

06 05 2011 - OCT B-Scan (Longitudinal)

7th evaluation

10 0

05 09 2011 - Anterior Segment Photo

Eleven months after trauma

05 09 2011 - Autofluorescence

05 09 2011 - Colour Retinography

Eleven months after trauma

Eleven months after trauma

05 09 2011 - Infrared

05 09 2011 - OCT B-Scan (Longitudinal)

05 09 2011 - Red-free

8th evaluation

11 0

26 10 2011 - Autofluorescence

26 10 2011 - Colour Retinography

Ultra-widefield fundus photograph one year after trauma

26 10 2011 - Infrared

26 10 2011 - OCT B-Scan (Longitudinal)

26 10 2011 - Red-free

9th evaluation

26 0

11 04 2012 - Anterior Segment Photo

Visual acuity: 20/20 LE

11 04 2012 - Autofluorescence

11 04 2012 - Colour Retinography

Ultra-widefield fundus photograph 14 months after trauma. Visual acuity: 20/20 LE

11 04 2012 - Fluorescein Angiography

Fluorescein angiogram showing staining of the lines of choroidal rupture

11 04 2012 - Infrared

11 04 2012 - OCT B-Scan (Longitudinal)

11 04 2012 - Red-free

10th evaluation

20 0

20 08 2012 - Anterior Segment Photo

2 years after trauma and surgery. Visual acuity: 20/20 LE

20 08 2012 - Autofluorescence

2 years after trauma and surgery. Visual acuity: 20/20 LE

20 08 2012 - Colour Retinography

Ultra-widefield photograph, 2 years after trauma and surgery. VA: 20/20 LE

20 08 2012 - Fluorescein Angiography

20 08 2012 - Infrared

20 08 2012 - OCT B-Scan (Longitudinal)

11th evaluation

7 0

12 06 2141 - Colour Retinography

Five years after surgery. VA: 20/15 LE

14 10 2015 - Infrared

14 10 2015 - OCT B-Scan (Longitudinal)

Five years after surgery. VA: 20/15 LE

12th evaluation

9 0

20 09 2017 - Autofluorescence

Seven years after surgery. VA: 20/15 LE

20 09 2017 - Colour Retinography

Seven years after surgery. VA: 20/15 LE

20 09 2017 - Infrared

Seven years after surgery. VA: 20/15 LE

20 09 2017 - OCT B-Scan (Longitudinal)

Seven years after surgery. VA: 20/15 LE

20 09 2017 - Red-free

Seven years after surgery. VA: 20/15 LE

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