The choroidal rupture: current concepts and insights.

Autor: Lupidi M; Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, Perugia, Italy; Fondazione per la Macula Onlus, Di.N.O.G.Mi., University Eye Clinic, Genova, Italy; Centre de l'Odéon, Paris, France., Muzi A; Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, Perugia, Italy., Castellucci G; Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, Perugia, Italy., Kalra G; Government Medical College and Hospital, Chandigarh, India., Piccolino FC; Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA., Chhablani J; Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: jay.chhablani@gmail.com., Cagini C; Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, Perugia, Italy.
Jazyk: angličtina
Zdroj: Survey of ophthalmology [Surv Ophthalmol] 2021 Sep-Oct; Vol. 66 (5), pp. 761-770. Date of Electronic Publication: 2021 Feb 02.
DOI: 10.1016/j.survophthal.2021.01.014
Abstrakt: Choroidal rupture is a posterior segment affliction following a traumatic event that results in a break in the retinal pigment epithelium, Bruch membrane, and the underlying choriocapillaris. The visual prognosis may be extremely poor when involving the macular area or in cases with major comorbidities. On funduscopic examination the rupture appears as a whitish/yellowish curvilinear or crescent-shaped lesion with forked or tapered endings. Multimodal imaging including fluorescein angiography, indocyanine green angiography, optical coherence tomography, and optical coherence tomography angiography can provide a detailed assessment of the extent of damage and the onset of complications. Although there is no treatment for choroidal rupture per se, associated complications such as angle-recession glaucoma, retinal detachment, or exudative choroidal neovascularization might need therapeutic interventions. We describe the pathophysiology of choroidal rupture, the recent multimodal imaging findings, and the available treatment options for the management of complications.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: