Imaging features and prognostic implications of traumatic type 2 choroidal rupture

A 30-year-old woman presented with a month history of decreased vision in the right eye following blunt trauma. Her best-corrected visual acuity was 3/60. Fundus photography revealed a choroidal rupture, and optical coherence tomography (OCT) demonstrated a large, concave depression of the retinal pigment epithelium (RPE)–choriocapillaris complex, consistent with a Type 2 rupture [Fig. 1]. Unlike Type 1 ruptures, which show a dome-shaped elevation, Type 2 ruptures involve broader RPE–Bruch’s membrane disruption and carry a higher risk of choroidal neovascularization.[1,2] Consequently, they require close, long-term follow-up with serial OCT and home Amsler testing to prevent potentially severe, irreversible vision loss.Figure 1: (a) CFP of the right eye showing a curvilinear or crescent-shaped lesion oriented concentrically around the optic nerve head appears as a well-defined white to yellow-white streak (orange arrow). Its pale coloration results from the loss of pigment within the retinal pigment epithelium (RPE). (b and c) OCT shows a large, concave depression of the RPE–choriocapillaris complex, consistent with a Type 2 choroidal rupture (white arrow)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 and Sandya Baskar 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 has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.