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. 1993 Jan;77(1):33–35. doi: 10.1136/bjo.77.1.33

Choroidal rupture and optic atrophy.

L C Glazer 1, D P Han 1, M S Gottlieb 1
PMCID: PMC504419  PMID: 8435396

Abstract

The association between post-traumatic optic disc pallor and traumatic choroidal rupture is poorly understood. To further define this relationship, nine cases of indirect traumatic choroidal rupture and post-traumatic optic disc pallor were compared with cases of indirect choroidal rupture without disc pallor in terms of severity of ocular injury, fundus findings, and visual outcome. The type and severity of the injury did not appear to influence the risk of optic disc pallor. Optic disc pallor was associated with a slightly poorer long term visual acuity than eyes without pallor (p = 0.059). The presence of a relative afferent pupillary defect was strongly associated with optic disc pallor (p = 0.016). Peripapillary retinal pigment epithelial abnormalities were a common finding, suggesting peripapillary trauma as a cause for optic disc pallor.

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Selected References

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  1. Aguilar J. P., Green W. R. Choroidal rupture. A histopathologic study of 47 cases. Retina. 1984 Fall-Winter;4(4):269–275. [PubMed] [Google Scholar]
  2. Anderson R. L., Panje W. R., Gross C. E. Optic nerve blindness following blunt forehead trauma. Ophthalmology. 1982 May;89(5):445–455. doi: 10.1016/s0161-6420(82)34769-7. [DOI] [PubMed] [Google Scholar]
  3. Campos E. C., Bedell H. E., Enoch J. M., Fitzgerald C. R. Retinal receptive field-like properties and Stiles-Crawford effect in a patient with a traumatic choroidal rupture. Doc Ophthalmol. 1978 Aug 1;45(2):381–395. doi: 10.1007/BF00161673. [DOI] [PubMed] [Google Scholar]
  4. Goldberg M. F. Choroidoretinal vascular anastomoses after blunt trauma to the eye. Am J Ophthalmol. 1976 Dec;82(6):892–895. doi: 10.1016/0002-9394(76)90066-0. [DOI] [PubMed] [Google Scholar]
  5. Hart J. C., Natsikos V. E., Raistrick E. R., Doran R. M. Indirect choroidal tears at the posterior pole: a fluorescein angiographic and perimetric study. Br J Ophthalmol. 1980 Jan;64(1):59–67. doi: 10.1136/bjo.64.1.59. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Luxenberg M. N. Subretinal neovascularization associated with rupture of the choroid. Arch Ophthalmol. 1986 Aug;104(8):1233–1233. doi: 10.1001/archopht.1986.01050200139069. [DOI] [PubMed] [Google Scholar]
  7. Maberley A. L., Carvounis E. P. The visual field in indirect traumatic rupture of the choroid. Can J Ophthalmol. 1977 Apr;12(2):147–152. [PubMed] [Google Scholar]
  8. Park J. H., Frenkel M., Dobbie J. G., Choromokos E. Evulsion of the optic nerve. Am J Ophthalmol. 1971 Nov;72(5):969–971. doi: 10.1016/0002-9394(71)91699-0. [DOI] [PubMed] [Google Scholar]
  9. Smith R. E., Kelley J. S., Harbin T. S. Late macular complications of choroidal ruptures. Am J Ophthalmol. 1974 May;77(5):650–658. doi: 10.1016/0002-9394(74)90526-1. [DOI] [PubMed] [Google Scholar]
  10. Thompson H. S., Montague P., Cox T. A., Corbett J. J. The relationship between visual acuity, pupillary defect, and visual field loss. Am J Ophthalmol. 1982 Jun;93(6):681–688. doi: 10.1016/0002-9394(82)90460-3. [DOI] [PubMed] [Google Scholar]
  11. Wyszynski R. E., Grossniklaus H. E., Frank K. E. Indirect choroidal rupture secondary to blunt ocular trauma. A review of eight eyes. Retina. 1988;8(4):237–243. doi: 10.1097/00006982-198808040-00003. [DOI] [PubMed] [Google Scholar]

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