This patient presented with vision loss from an acute submacular hemorrhage following blunt trauma.
Subsequent images, 3 weeks later and 2 months later, show gradual resolution of the blood with the appearance of an underlying choroidal rupture.
Learning Point:
Choroidal ruptures are caused by blunt ocular trauma and are always circumferential with respect to the optic nerve. Subretinal blood following blunt trauma virtually always indicates the presence of an underlying choroidal rupture.
The initial visual prognosis is generally good if the rupture does not extend through the macular center, as was fortunately the case in this patient.
These patients need to be followed since macular neovascularization can develop later in life.
