The Pan-American Journal of Ophthalmology

CASE REPORT
Year
: 2022  |  Volume : 4  |  Issue : 1  |  Page : 42-

Ocular trauma: Occult scleral rupture with macular avulsion


Maria Paula Dussan Vargas1, Sara Catalina Toledo Navarro2, Andres Amaya Espinosa1, Hernan Andres Rios1 
1 Ophthalmology Department, Medicine School, Universidad de la Sabana, Cundinamarca, Bogotá, Colombia
2 Ophthalmology Department, Medicine School Universidad de los Andes, Bogotá, Colombia

Correspondence Address:
Maria Paula Dussan Vargas
Calle 106 #23-07 Apto 306, Bogota, Cundinamarca
Colombia

Open ocular trauma at the posterior segment can present with nonobvious scleral injuries, which represents a diagnostic challenge. The purpose of this article is to describe an atypical case of occult posterior scleral lesion. We present a clinical case of a 22-year-old man who consulted for a blunt trauma in his left eye. Physical examination revealed decreased visual acuity and vitreous hemorrhage without visualization of the posterior segment. Axial head computed tomography scan showed continuity solution of the posterior ocular wall, so the patient was taken to surgery with intraoperative atypical findings of loss of temporal retinal tissue with macular involvement, with good postoperative clinical course. In conclusion, high-energy trauma with both sharp and blunt mechanisms can generate posterior segment injuries such as occult posterior scleral rupture and even avulsion of retinal tissue in the macular area. Timely diagnosis and treatment of this type of injury is imperative for the patient's visual prognosis.


How to cite this article:
Dussan Vargas MP, Toledo Navarro SC, Espinosa AA, Rios HA. Ocular trauma: Occult scleral rupture with macular avulsion.Pan Am J Ophthalmol 2022;4:42-42


How to cite this URL:
Dussan Vargas MP, Toledo Navarro SC, Espinosa AA, Rios HA. Ocular trauma: Occult scleral rupture with macular avulsion. Pan Am J Ophthalmol [serial online] 2022 [cited 2022 Oct 4 ];4:42-42
Available from: https://www.thepajo.org/article.asp?issn=2666-4909;year=2022;volume=4;issue=1;spage=42;epage=42;aulast=Dussan;type=0