Treatment and pathogenesis of traumatic chorioretinal rupture (sclopetaria).
Journal Article (Journal Article)
Eight eyes (seven patients) with traumatic chorioretinal rupture (sclopetaria) from severe ocular trauma were examined. All seven patients were referred with diagnoses of retinal detachment, giant retinal tear, or ruptured globe. Instead, all eyes had large, peripheral, full-thickness breaks of the choroid and retina without retinal detachment. Seven of eight eyes were initially managed by observation only; one eye was treated with a scleral buckling procedure. The retina remained attached in all eyes for at least six months. Late retinal detachment (more than one year after initial injury) occurred in two eyes because of retinal breaks at a site distant from the original chorioretinal rupture. Two eyes later developed vitreous hemorrhage associated with posterior vitreous detachment and one of these eyes required vitrectomy to clear the visual axis. The pathogenesis of sclopetaria appears to be mechanical disruption and retraction of tissue rather than acute tissue dissolution. The risk of acute retinal detachment is low. We recommend nonsurgical management for the initial treatment of these patients, with continued observation for complications that may later occur.
Full Text
Duke Authors
Cited Authors
- Martin, DF; Awh, CC; McCuen, BW; Jaffe, GJ; Slott, JH; Machemer, R
Published Date
- February 15, 1994
Published In
Volume / Issue
- 117 / 2
Start / End Page
- 190 - 200
PubMed ID
- 8116747
International Standard Serial Number (ISSN)
- 0002-9394
Digital Object Identifier (DOI)
- 10.1016/s0002-9394(14)73076-4
Language
- eng
Conference Location
- United States