Clinical presentation and outcome of chorioretinitis sclopetaria: A case series study

Ahmadabadi, M Nili; Karkhaneh, Reza; Roohipoor, Ramak; Tabatabai, A.; Alimardani, A

doi:10.1016/j.injury.2009.02.016

Cited by 36 publications

(50 citation statements)

References 8 publications

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“…Although there is no perforation, ruptures Ramos ICO , Santos DCM, Soares I, Cerqueira V in the retina and choroid, as well as macular edema may be present and seriously impair the visual acuity (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) . The multidisciplinary approach should always be considered in cases of ocular trauma.…”

Section: Discussionmentioning

confidence: 99%

“…However, the retina rarely desplaces in this situation, presumably because of an inflammation in the edges of the necrotic retina leading to a firm chorioretinal adhesion. Furthermore, it is believed that the retina and choroid are retracted as a single unit, with the posterior hyaloid remaining intact from rupture, preventing the entrance of the vitreous into the subretinal space (1,3,15) . If a retinal detachment occurs, it is usually at another site.…”

Section: Discussionmentioning

confidence: 99%

“…horioretinitis sclopetaria is the term used to characterize an eye injury in which a firearm projectile (FAP) passes nearby the globe without perforating it, causing damage to the retina and choroid (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) . It was first described in 1901 by Goldzieher (3,6,14,15) , but Kempster et al mention Graefe as first reporting it in 1954 (16) .…”

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confidence: 99%

“…This syndrome has received a variety of names which include proliferative chorioretinitis, proliferative plastic chorioretinitis and proliferative Lagrange chorioretinitis (14,15) . The pathophysiological mechanism of the injury is caused by the energy release resulting from the high speed of the projectile when reaching the orbital cavity and passing close to the eyeball in its path (1)(2)(3)5,6,(13)(14)(15) . Although there is no perforation, there is direct damage to the retina and/or choroid, or immediately adjacent to that path, generally parallel to the ora serrata.…”

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confidence: 99%

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Chorioretinitis sclopetaria

Ramos¹,

Santos²,

Soares³

et al. 2015

Revista Brasileira De Oftalmologia

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RESUMO ABSTRACTThe objective of this study is to report a case of ocular trauma by gunshot bullet, which struck and lodged in the orbit, developing chorioretinitis sclopetaria. We also addressed the pathophysiological mechanism, the main clinical findings and laboratory tests, and treatment options. The characteristic of this case enhances the importance of a multidisciplinary approach in the ocular trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Chorioretinitis sclopetaria

Ramos¹,

Santos²,

Soares³

et al. 2015

Revista Brasileira De Oftalmologia

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“…(3) In 1901 Goldzieher introduced the term chorioretinitis sclopetaria to describe the appearance of choroidal and retinal tearsafter orbital trauma caused by a firearm projectile. (1) Findings on fundus examination include fibrovascular proliferation, retinal pigment epithelium (RPE) migration and proliferation, epiretinal membrane formation, loss of photoreceptors, and optic atrophy.…”

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confidence: 99%

Blindness reversal in corioretinitis sclopetaria

Carvalho¹,

Zacharias²,

Albhy³

et al. 2014

Revista Brasileira De Oftalmologia

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Corioretinitis sclopetaria is a rare manifestation of ocular trauma which may or may not penetrate the orbit. The aim of this study is to report a case of Corioretinitis sclopetaria after orbital trauma by a firearm bullet that had initial total blindness in the affected eye, and evolved over weeks with partial visual recovery. We report a 12 years old boy, victim of firegun injury, who presented a diagnosis of corioretinitis sclopetaria in his right eye. Initial ophthalmologic examination of this eye showed nonreactive pupil and visual acuity of no light perception. The left eye was normal. The patient underwent excision of the firearm bullet located in the orbit. On the early postoperative, the patient reported seeing light and presented visual acuity of counting fingers at 30 cm. The patient showed steady improvement and after eight months his visual acuity was of 0.15 on the affected eye. In corioretinitis sclopetaria, presented visual acuity is generally low. It is still unclear whether visual loss is caused by damage to retina, optic nerve or both components. Patients with total blindness after trauma usually have no visual prognosis. However, some patients may show visual acuity improvement, such as the case described here. Therefore, in patients victims of blunt ocular trauma with low visual acuity, including no light perception, it is important to monitor these patients and treat, if necessary, due to the possibility of visual recovery.Keywords: Blindness; Chorioretinitis/diagnosis; Eye injuries; Wounds, gunshot; Retina/injuries; Case reports RESUMOA retinopatia esclopetária é uma manifestação rara de trauma ocular que pode ou não penetrar a órbita. O objetivo desse trabalho é relatar um caso de retinopatia esclopetária após trauma orbitário por bala de arma de fogo com amaurose total inicial no olho acometido, que evoluiu ao longo de semanas com recuperação visual parcial. Relatamos um caso de um paciente com 12 anos, sexo masculino, vítima de ferimento por arma de fogo, que apresentava ao exame oftalmológico inicial do olho direito pupila não reagente com acuidade visual (AV) de sem percepção luminosa (SPL) e diagnóstico de retinopatia esclopetária nesse olho. O olho esquerdo apresentava-se normal. O paciente foi submetido à exérese do projétil alojado na cavidade orbitária. No 14° pós-operatório, o paciente referiu enxergar claridade, apresentava AV de conta dedos a 30 cm. Ao longo dos primeiros meses, o paciente apresentou melhora constante da AV e com oito meses de seguimento, apresentava AV de 0,15. Na retinopatia esclopetária, a AV geralmente é baixa. Ainda não é claro atualmente se a perda visual é ocasionada por lesão à retina, ao nervo óptico, ou um misto dos dois componentes. Casos de amaurose total após trauma geralmente não apresentam prognóstico visual. Porém, alguns pacientes podem apresentar melhora da AV, como no caso aqui descrito. Conclui-se assim que em casos traumáticos contusos em pacientes com baixa AV inclusive SPL, deve-se acompanhar esses pacientes e tratar, se necessár...

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