A rare case of RPE tear and hemorrhagic PED after blunt trauma

Figure 1: Extensive commotio involving the macula (a, red arrow) and a blisterlike lesion near the optic nerve head (b, green arrow). Optical coherence tomography (OCT) showed Grade 2 commotio (c red arrow), with fluid accumulation at the sub-RPE (retina pigment epithelium) level, localized subretinal hemorrhage (d red arrow), suggestive of a hemorrhagic pigment epithelial detachment (PED) with a subtle a triangular area suggestive of a retinal pigment epithelium (RPE) tear with distinctly rolled RPE edges (d orange star). Further follow-up imaging could not be obtained as the patient was lost to follow-upFundus examination revealed extensive commotio and a blisterlike lesion near the optic disc. Optical coherence tomography showed Grade 2 commotio with sub-RPE (retina pigment epithelium) fluid and localized subretinal hemorrhage, consistent with a hemorrhagic pigment epithelial detachment (PED) and subtle RPE tear [Fig. 1]. The right eye was within normal limits. RPE tears are rare after blunt trauma, occurring within a narrow force range sufficient to rupture the RPE without causing choroidal rupture.[1–4] He was managed conservatively, as both PED and RPE tears may resolve spontaneously. Authors’ contributions Savithiri Palanivel contributed to the concept and design of the study, as well as the acquisition, analysis, and interpretation of data. Savithiri Palanivel, Anupama Reddy, and Anand Rajendran participated in the critical review and supervision of the manuscript for important intellectual content and contributed to drafting the manuscript. All authors have approved the final version of the manuscript and agree to be accountable for all aspects of the work. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.