Last additions - Choroidal Rupture and Macular Hemorrhage 13-year-old had an injury to the right eye on July 14th with a choroidal rupture. He had cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120. IOP: 18. The lens is clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is a choroidal rupture just temporal to the optic nerve. There is laser to a nasal retinal tear as well as cryo to a temporal retinal tear and laser to lattice degeneration at 6:00 o’clock. There are some areas of vitreoretinal traction superiorly.
IMPRESSION:
1. STATUS POST TREATMENT FOR RETINAL TEARS – RIGHT EYE
2. PREVIOUS TRAUMA – RIGHT EYE
3. CHOROIDAL RUPTURE
DISCUSSION: I explained to the patient the eye is stable at this point. There is still a risk of subsequent retinal tears within the first year, especially with the injury. There are some areas at 12:00 o’clock though that might be starting to contract. I asked him to return for check in two months, sooner should he notice a problem, such as increased floaters or shadows, and to see you regularly.
(Initial Visit):
He was hit in the right eye about three weeks ago by an aluminum foil covered ball which was shot out of some sort of a tube. He needed surgery to repair a full-thickness corneal laceration. Since then you suggested he come here for an evaluation because of a choroidal rupture and macular hemorrhage. His vision in the eye is limited.
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 571 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 622 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 637 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 478 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 491 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 474 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 529 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 560 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 735 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 731 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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Choroidal Rupture - 13 year old - 3 months following injury to eye with aluminum foil ball corneal laceration 663 views13-year-old 3 months post injury to right eye with corneal laceration and cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120.Jul 24, 2011
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13-year-old had an injury to the right eye on July 14th with a choroidal rupture. He had cryo to a retinal tear on July 27th and then six clock hours away laser to a retinal tear on October 20th. His vision is a little better in the eye.
VISUAL ACUITY: Vision OD is 20/120. IOP: 18. The lens is clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is a choroidal rupture just temporal to the optic nerve. There is laser to a nasal retinal tear as well as cryo to a temporal retinal tear and laser to lattice degeneration at 6:00 o’clock. There are some areas of vitreoretinal traction superiorly.
IMPRESSION:
1. STATUS POST TREATMENT FOR RETINAL TEARS – RIGHT EYE
2. PREVIOUS TRAUMA – RIGHT EYE
3. CHOROIDAL RUPTURE
DISCUSSION: I explained to the patient the eye is stable at this point. There is still a risk of subsequent retinal tears within the first year, especially with the injury. There are some areas at 12:00 o’clock though that might be starting to contract. I asked him to return for check in two months, sooner should he notice a problem, such as increased floaters or shadows, and to see you regularly.
(Initial Visit):
He was hit in the right eye about three weeks ago by an aluminum foil covered ball which was shot out of some sort of a tube. He needed surgery to repair a full-thickness corneal laceration. Since then you suggested he come here for an evaluation because of a choroidal rupture and macular hemorrhage. His vision in the eye is limited.
