Complimentary imaging technologies in blunt ocular trauma
A 58-year-old Caucasian man presented with a past ocular history of blunt force trauma with a tennis ball at age 17. As in the first case, surgical intervention was not recommended at the time of injury and vision deteriorated to hand motions shortly thereafter. On examination, uncorrected VA in the affected eye was 20/800 and IOP was 13 mm Hg. The VA and IOP in the unaffected eye were within normal limits.\nColor fundus imaging of the affected right eye [] showed a crescentric area of choroidal rupture with fibrosis and reactive hyperpigmentation involving the macula and extending to the vascular arcades with peripapillary atrophy. The digital red filter [] and monochromatic “emboss” filter [] showed good correlation with the extensive fibrosis noted on color imaging []. FAF imaging [] delineated an area of hypofluorescence greater than that originally defined in Figure -. OCT [] showed chorioretinal atrophy in the macula and temporal retina (in contrast to the unaffected normal appearing nasal retina). Microperimetry testing of the central 10° field [] showed an absolute scotoma with no response to maximal stimuli at 0 dB. The central scotoma corresponded to the involved retina.