Post-Traumatic Choroidal Rupture: Characteristics, Management and Outcomes.

Authors

Chayane Ziani, Thibaut Chapron, Ismael Chehaibou, Florence Metge, Georges Caputo, Youssef Abdelmassih

Published in

Retina (Philadelphia, Pa.). Sep 21, 2026. Epub Sep 21, 2026.

Abstract

To describe the clinical features, management, and outcomes of post-traumatic choroidal ruptures.
This retrospective consecutive case series included patients with Bruch's membrane ruptures following ocular trauma. Clinical records, multimodal imaging, and treatment outcomes were reviewed.
A total of 26 patients (27 eyes) with post-traumatic choroidal rupture were included. Mean age at presentation was 27.4±16.3 years, with a male predominance (65%). Most ruptures were submacular (55%) and arc-shaped (52%), commonly associated with subretinal hemorrhage (74%) or commotio retinae (63%). Choroidal neovascularization (CNV) developed in 11 eyes (41%) at a median interval of 62 days after trauma and was effectively controlled in most cases with a limited number of intravitreal anti-VEGF injections, leading to significant functional and anatomical improvement. Seventy percent of eyes with CNV needed 5 injections or less to control CNV activity. Eyes without CNV also demonstrated significant visual gains. Final outcomes were similar between eyes with and without CNV. Additional complications included full-thickness macular hole (19%) and epiretinal membrane (15%).
Trauma is a common cause for choroidal rupture. Post-traumatic choroidal rupture primarily affects young males and most often involves the submacular region. Choroidal neovascularization developed in nearly half of eyes within weeks of trauma but was generally well-controlled with anti-VEGF therapy, resulting in meaningful visual recovery. Despite frequent associated complications, most patients experienced improved vision over time, underscoring the importance of long-term monitoring and timely treatment.

PMID:
42765884
Bibliographic data and abstract were imported from PubMed on 21 Sep 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.