TNOA Journal of Ophthalmic Science and Research

OPHTHALMIC IMAGE
Year
: 2022  |  Volume : 60  |  Issue : 2  |  Page : 205--206

Inverted 'Echinops Setifer' Shaped Traumatic Sign in the Fundus – Contemporaneous Subfoveal Choroidal Rupture with Epiretinal Membrane Post Blunt Trauma


Prasanna Venkatesh Ramesh1, Aji Kunnath Devadas2, Prajnya Ray2, Shruthy Vaishali Ramesh3, Anugraha Balamurugan4, Meena Kumari Ramesh3, Ramesh Rajasekaran5, Banasmita Mohanty2,  
1 Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
2 Department of Optometry and Visual Science, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
3 Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
4 Department of Vitreo-Retinal Services, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
5 Strabismus and Paediatric Ophthalmology, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India

Correspondence Address:
Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No. 6, Tennur, Seshapuram, Trichy - 620 017, Tamil Nadu
India




How to cite this article:
Ramesh PV, Devadas AK, Ray P, Ramesh SV, Balamurugan A, Ramesh MK, Rajasekaran R, Mohanty B. Inverted 'Echinops Setifer' Shaped Traumatic Sign in the Fundus – Contemporaneous Subfoveal Choroidal Rupture with Epiretinal Membrane Post Blunt Trauma.TNOA J Ophthalmic Sci Res 2022;60:205-206


How to cite this URL:
Ramesh PV, Devadas AK, Ray P, Ramesh SV, Balamurugan A, Ramesh MK, Rajasekaran R, Mohanty B. Inverted 'Echinops Setifer' Shaped Traumatic Sign in the Fundus – Contemporaneous Subfoveal Choroidal Rupture with Epiretinal Membrane Post Blunt Trauma. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2022 Sep 27 ];60:205-206
Available from: https://www.tnoajosr.com/text.asp?2022/60/2/205/349518


Full Text



A 29-year-old female patient presented with best corrected visual acuity of hand movements in the right eye (OD) 1-week after blunt trauma. On examination, the anterior segment was found to be normal and fundus [Figure 1] revealed subfoveal choroidal rupture with epiretinal membrane (ERM) in the shape of an inverted Echinops setifer flower. In this scenario, both inner and outer retinal layers were affected, with proliferation of glial cells forming ERM and subfoveal retinal pigment epithelium (RPE)–Bruch's membrane–choroidal complex disruption, respectively.[1],[2] According to the literature, there are no reports on a contemporaneous choroidal rupture with ERM developing within 1-week post-trauma. Optical coherence tomography (OCT) [Figure 2] was performed, and conservative management was advised.[3],[4],[5],[6],[7]{Figure 1}{Figure 2}

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.

References

1Choroidal Rupture-EyeWiki. Available from: https://eyewiki.aao.org/Choroidal_Rupture. [Last accessed on 2021 Sep 21].
2Epiretinal Membrane-EyeWiki. Available from: https://eyewiki.aao.org/Epiretinal_Membrane. [Last accessed on 2021 Sep 21].
3Ramesh PV, Ramesh SV, Rajasekaran R, Ramesh MK. Optical coherence tomography findings of photoreceptor-retinal pigment epithelium complex in acute traumatic maculopathy. Delhi J Ophthalmol 2021;31:97.
4Arthur A, Rajasekaran NM, Kuriakose T. A reappraisal of indirect choroidal rupture using swept-source optical coherence tomography in-vivo pathology images in patients with blunt eye trauma. Indian J Ophthalmol 2020;68:2131-5.
5Ramesh PV, Ramesh SV, Aji K, Ray P, Balamurugan A, Rajasekaran R, et al. A case of ocular trauma manifesting as multiple choroidal ruptures and subretinal hemorrhages in a child. TNOA J Ophthalmic Sci Res 2022;60:68-70.
6Ramesh SV, Ramesh PV, Ramesh MK, Rajasekaran R. Acute traumatic maculopathy. Kerala J Ophthalmol 2021;33:123-5.
7Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK. A rare presentation of bilateral subclinical macular commotio retinae. TNOA J Ophthalmic Sci Res 2020;58:318-9.