Successful closure of large blunt macular chorioretinal rupture: a case report

Daisuke Muramatsu1, Takuya Iwasaki2, Tsuyoshi Agawa1, Masahiko Usui1, Hiroshi Goto11Department of Ophthalmology, Tokyo Medical University, 2Department of Ophthalmology, Tokyo Medical University Ibaraki Medical Center, Tokyo, JapanAbstract: The authors present a rare case of large chorioretinal ruptu...

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Autores principales:	Agawa T, Iwasaki T, Muramatsu D, Usui M, Goto H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/73d3442353e44096af5fdb9288d4cb43
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spelling	oai:doaj.org-article:73d3442353e44096af5fdb9288d4cb432021-12-02T04:05:14ZSuccessful closure of large blunt macular chorioretinal rupture: a case report1177-54671177-5483https://doaj.org/article/73d3442353e44096af5fdb9288d4cb432012-02-01T00:00:00Zhttp://www.dovepress.com/successful-closure-of-large-blunt-macular-chorioretinal-rupture-a-case-a9358https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Daisuke Muramatsu1, Takuya Iwasaki2, Tsuyoshi Agawa1, Masahiko Usui1, Hiroshi Goto11Department of Ophthalmology, Tokyo Medical University, 2Department of Ophthalmology, Tokyo Medical University Ibaraki Medical Center, Tokyo, JapanAbstract: The authors present a rare case of large chorioretinal rupture caused by blunt traumatic injury of the globe. A 22-year-old woman sustained a blunt injury to her left eye. The best-corrected Snellen visual acuity was 2/20 in her left eye, and hyphema and vitreous hemorrhage were noted. The day after the injury occurred the vitreous hemorrhage had disappeared. Fundus examination revealed a crescent-shaped retinal rupture three disc diameters in size near the macula, and a choroidal rupture six disc diameters in size that was over the vascular arcade. Three days after the injury, vitrectomy with internal limiting membrane peeling was performed. Postoperative prone positioning was maintained for 4 days. Five days postoperatively, closure of the ruptured retina was confirmed. The visual acuity improved to 16/20 4 months after surgery and this was maintained over a 48-month period. In conclusion, early vitrectomy with internal limiting membrane peeling after injury was effective for a case involving severe blunt chorioretinal rupture with closed globe injury.Keywords: choroidal rupture, retinal rupture, traumatic macular hole, closed globe injury, internal limiting membraneAgawa TIwasaki TMuramatsu DUsui MGoto HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 311-314 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Agawa T Iwasaki T Muramatsu D Usui M Goto H Successful closure of large blunt macular chorioretinal rupture: a case report
description	Daisuke Muramatsu1, Takuya Iwasaki2, Tsuyoshi Agawa1, Masahiko Usui1, Hiroshi Goto11Department of Ophthalmology, Tokyo Medical University, 2Department of Ophthalmology, Tokyo Medical University Ibaraki Medical Center, Tokyo, JapanAbstract: The authors present a rare case of large chorioretinal rupture caused by blunt traumatic injury of the globe. A 22-year-old woman sustained a blunt injury to her left eye. The best-corrected Snellen visual acuity was 2/20 in her left eye, and hyphema and vitreous hemorrhage were noted. The day after the injury occurred the vitreous hemorrhage had disappeared. Fundus examination revealed a crescent-shaped retinal rupture three disc diameters in size near the macula, and a choroidal rupture six disc diameters in size that was over the vascular arcade. Three days after the injury, vitrectomy with internal limiting membrane peeling was performed. Postoperative prone positioning was maintained for 4 days. Five days postoperatively, closure of the ruptured retina was confirmed. The visual acuity improved to 16/20 4 months after surgery and this was maintained over a 48-month period. In conclusion, early vitrectomy with internal limiting membrane peeling after injury was effective for a case involving severe blunt chorioretinal rupture with closed globe injury.Keywords: choroidal rupture, retinal rupture, traumatic macular hole, closed globe injury, internal limiting membrane
format	article
author	Agawa T Iwasaki T Muramatsu D Usui M Goto H
author_facet	Agawa T Iwasaki T Muramatsu D Usui M Goto H
author_sort	Agawa T
title	Successful closure of large blunt macular chorioretinal rupture: a case report
title_short	Successful closure of large blunt macular chorioretinal rupture: a case report
title_full	Successful closure of large blunt macular chorioretinal rupture: a case report
title_fullStr	Successful closure of large blunt macular chorioretinal rupture: a case report
title_full_unstemmed	Successful closure of large blunt macular chorioretinal rupture: a case report
title_sort	successful closure of large blunt macular chorioretinal rupture: a case report
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/73d3442353e44096af5fdb9288d4cb43
work_keys_str_mv	AT agawat successfulclosureoflargebluntmacularchorioretinalruptureacasereport AT iwasakit successfulclosureoflargebluntmacularchorioretinalruptureacasereport AT muramatsud successfulclosureoflargebluntmacularchorioretinalruptureacasereport AT usuim successfulclosureoflargebluntmacularchorioretinalruptureacasereport AT gotoh successfulclosureoflargebluntmacularchorioretinalruptureacasereport
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Successful closure of large blunt macular chorioretinal rupture: a case report

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