A Case of Traumatic Choroidopathy With Subretinal Fluid. (March 2021)

• Record Type: Journal Article
• Authors: Mishra, Kapil; Iftikhar, Mustafa; Channa, Roomasa
• Is Part Of: Journal of vitreoretinal diseases. Volume 5:Number 2(2021)
• Page Start: 165
• Page End: 169
• Publication Date: 2021-03
• Subjects: eye trauma -- ocular trauma -- retinal pigment epithelial dysfunction -- subretinal fluid -- traumatic choroidopathy; Retina -- Diseases -- Periodicals; Vitreous body -- Diseases -- Periodicals; Retina -- Diseases; Vitreous body -- Diseases; Periodicals; 617.735005
• DOI: 10.1177/2474126420951976
• Languages: English
• ISSNs: 2474-1264

Abstract

Purpose: We report a unique case of blunt ocular trauma with subretinal fluid (SRF), presumed to be traumatic choroidopathy as evidenced by multimodal imaging. Methods: A case report is presented. Results: A 22-year-old woman involved in a motor vehicle accident presented 1 day later to our emergency department with blurred vision in the left eye. Visual acuity was 20/40, significant SRF was present throughout the macula, and fluorescein angiography showed diffuse pooling and leakage. There were no retinal tears or intraocular inflammation. Indocyanine green angiography performed a week later showed patchy hypofluorescence in the affected area. One month later, visual acuity had improved to 20/20 and the SRF and the hypofluorescence on indocyanine green angiography had resolved. Conclusions: Subfoveal collection of SRF may be a cause of decreased vision following blunt ocular trauma. We hypothesize that in our case choroidal hypoperfusion and retinal pigment epithelial dysfunction contributed to the SRF collection.