Enhanced depth imaging optical coherence tomography of posterior globe rupture

Grayson W. Armstrong, Safa Rahmani, Seanna Grob, Yoshihiro Yonekawa*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Occult globe rupture is a rare but potentially devastating result of eye trauma. The authors present a case of a woman who sustained blunt trauma to the right eye resulting in a peripapillary circumferential posterior globe rupture. Clinically, the eye maintained good vision and normal intraocular pressure with a clear media, though sub-retinal fluid and retinal hemorrhage were present overlying the scleral defect. Enhanced depth imaging spectral-domain optical coherence tomography (EDI SD-OCT) revealed a sharp step-off of the sclera, choroid, and Bruch's membrane/retinal pigment epithelium, with overlying intact and contiguous inner retina, corresponding to a posterior globe rupture. Following conservative management, the sub-retinal fluid resolved and visual acuity improved to 20/20 over a month period, whereas the posterior globe step-off remained stable. This case demonstrates the potential for occult open globe injuries with preserved visual function in cases of blunt ocular trauma, and the first to document EDI SD-OCT findings of a posterior globe rupture. Multimodal imaging may help in the evaluation and diagnosis of suspected posterior segment globe rupture.

Original languageEnglish (US)
Pages (from-to)e171-e172
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume49
Issue number10
DOIs
StatePublished - Oct 1 2018

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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