PMC3625028_01
Left fundus showing extensive submacular hemorrhage with suspicion of choroidal rupture (arrow) at presentation (day 2 post-trauma).
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Left-eye fundus examination revealed an extensive submacular hemorrhage with suspicion of a choroidal rupture at the inferior margin of the submacular hemorrhage (Figure 1).
Optical coherence tomography of the left eye showing increased macular thickness with presence of submacular hemorrhage at presentation (A and B), minimal reduction of submacular hemorrhage at 1 week follow-up (C and D), and resolved submacular hemorrhage with restoration of anatomical retinal architecture at 4 weeks post-intravitreal ranibizumab (E and F).
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Optical coherence tomography of the left eye showed increased macular thickness with presence of submacular hemorrhage (Figure 2A and B). The subconjunctival hemorrhage and anterior uveitis were resolved, but there was minimal resolution of the submacular hemorrhage (Figure 2C and D). Repeat optical coherence tomography showed a reduction in macular thickness and resolution of the submacular hemorrhage with restoration of anatomical retinal architecture (Figure 2E and F).
Left fundus showing complete resolution of submacular hemorrhage with fibrosis scar and choroidal rupture scar at 4 weeks post-intravitreal ranibizumab.
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A choroidal rupture scar temporal to the fovea was observed, which had not been seen at presentation due to obscuration by blood (Figure 3).