Spontaneous regression and quiescence of choroidal neovascularization secondary to traumatic choroidal rupture depicted on OCT angiography

Mehreen Adhi, Maria Reinoso

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Choroidal rupture is a tear/break within the Bruch's membrane, retinal pigment epithelium and choroid following blunt trauma. Choroidal neovascularization is a well-known complication of traumatic choroidal rupture that is typically treated with intravitreal injections of Bevacizumab. This case describes an early detection of choroidal neovascular complex secondary to traumatic choroidal rupture and its spontaneous regression and quiescence without treatment followed using optical coherence tomography (OCT) angiography. Case Description: A healthy 19 year old female presented with decreased vision in her left eye following a blunt non-penetrating closed globe injury two weeks prior. A complete ophthalmic examination with ancillary testing was consistent with sub-foveal choroidal neovascularization secondary to traumatic choroidal rupture. Five weeks later, there was spontaneous regression of the choroidal neovascular complex as depicted on OCT angiography and complete resolution of subretinal fluid/exudation on structural OCT. A conservative approach without intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections was chosen for management. Conclusion: To the authors’ knowledge this is a first case describing a unique evolution with spontaneous regression and quiescence of choroidal neovascularization secondary to traumatic choroidal rupture without treatment followed using OCT angiography. Expectant management may be a viable treatment option for this condition.

Original languageEnglish (US)
Pages (from-to)NP54-NP58
JournalEuropean Journal of Ophthalmology
Volume33
Issue number2
DOIs
StatePublished - Mar 2023
Externally publishedYes

Keywords

  • Choroidal neovascular membrane
  • posterior segment complications of trauma
  • posterior segment trauma evaluation
  • techniques of retinal examination
  • trauma

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint

Dive into the research topics of 'Spontaneous regression and quiescence of choroidal neovascularization secondary to traumatic choroidal rupture depicted on OCT angiography'. Together they form a unique fingerprint.

Cite this