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. 2026 Mar 9;20:589150. doi: 10.2147/OPTH.S589150

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© 2026 Chakraborty et al.

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A 25-year-old female presented with diminution of vision (DOV) in the left eye (OS) for 10 days following blunt ocular trauma. Her best-corrected visual acuity (BCVA) was 20/200. The anterior segment examination was unremarkable with a clear crystalline lens. Fundus examination revealed a submacular hemorrhage (SMH) (A), which was confirmed on optical coherence tomography (OCT) (E). The patient underwent pars plana vitrectomy with subretinal injection of tissue plasminogen activator (tPA) and sulfur hexafluoride (SF₆) gas tamponade. One month postoperatively, the SMH had resolved (B), and a subfoveal choroidal rupture was evident at this stage. The BCVA improved to 20/80. OCT showed trace subretinal fluid and a dense subfoveal hyperreflective band corresponding to the choroidal rupture (F). At three months (C) and six months (D) follow-up, the patient remained stable, with BCVA improving to 20/32, no recurrence of SMH, and fundus evidence of scarring along the choroidal rupture (C and D). Corresponding OCT images (G and H) showed a dry macula with persistent subretinal hyperreflectivity consistent with the healed rupture.