Clinical Analysis of Choroidal Ruptures.

Lim, Jin Ock; Chang, Moo Hwan; Lee, Jaeheung

Original Article

Journal of the Korean Ophthalmological Society 1988;29(6):1057-1063.
Published online June 1, 1988.

Clinical Analysis of Choroidal Ruptures.

Jin Ock Lim, Moo Hwan Chang, Jaeheung Lee

Department of Opbtbalmology, College of Medicine, Seoul National University, Seoul, Korea.

맥락막 파열 53 안의 임상 분석

임진옥(Jin Ock Lim),장무환(Moo Hwan Chang),이재흥(Jae Heung Lee)

Abstract

Choroidal rupture is a common complication of contusion injuries of the eye. The data from 53 patients of choroidal ruptures attending SNUH for 6 years were analyzed. 1. There were more males than females and the peak age was twenties and thirties of age. 2. There was no statistical diffenence in frequency of left or right eye injuries. 3. The major(55%) chief complaint of the patients was visual disturbance. 4. The majority(36%) of the patients visited SNUH from 11 days to 1 month after the ocular trauma. 5. The major(34%) cause of ocular trauma was a blow by fist or foot. 6. Most(79%) of the corrected visual acuities on initial examination were 0.3 or less. 7. The majority(45%) of the choroidal ruptures were 1-2 disc diopter in length. 8. Most(75%) of the choroidal ruptures were single in number. 9. The majority(59%) of the choroidal ruptures were in the posterior pole and/or near the posterior pole and most(82%) of choroidal ruptures were located temporal to the optic disc. 10. The majority(72%) of the choroidal ruptures were associated with macular lesions, e.g., choroidal rupture, subretinal neovascular membrance, hemorrhage and degeneration, etc. 11. Fluorescein angiographic findings of choroidal ruptures were scleral staining(100%), subretinal pigment epithelial hemorrhage(37%), pigment hypertrophy(19%), subretinal hemorrhage(15%), and subretinal neovascular membrane(11%), etc. 12. In 15% of the choroidal ruptures, subretinal neovascular membrane developed.