This patient presented with an acute submacular hemorrhage following a finger-to-eye injury.
The subretinal blood slowly resolved over the following three months. An underlying choroidal rupture is almost always the source of this traumatic blood.
Final vision was 20/400, either due to contusive foveal damage or possible toxicity from the subretinal blood.
Learning Point:
Choroidal ruptures are caused by blunt ocular trauma and are always circumferential with respect to the optic nerve.
These patients need to be followed since macular neovascularization can develop later in life.
