Bilateral macular hole formation secondary to sclopetaria caused by shockwaves transmitted by a posterior vector: case report

Kunjukunju, Nancy; Navarro, Alicia; Oliver, Scott C. N.; Olson, J.; Patel, C. C.; Mandava, Naresh; Quiroz‐Mercado, Hugo

doi:10.1186/1471-2415-10-6

Cited by 14 publications

(8 citation statements)

References 15 publications

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“… 1 Sclopetaria is a rare condition, yet, an increasing number of cases have been reported in the literature over the last several decades – from 11 cases reported between 1980 and 1999 2 , 3 , 4 , 5 to 43 reported between 2000 and 2018. 1 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 …”

Section: Introductionmentioning

confidence: 99%

Traumatic chorioretinitis sclopetaria: Risk factors, management, and prognosis

Ludwig

Shields

Diana

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose To describe new cases of sclopetaria and evaluate the risk factors, management, and visual prognosis of all reported cases in the literature. Observations We performed a retrospective, observational case series. This study included six cases (median age 23, interquartile range 33) of sclopetaria. Additionally, literature searches were conducted in the PubMed and Cochrane Library databases to uncover risk factors associated with all published cases of sclopetaria. Main outcome measure was best corrected visual acuity (BCVA) worse than 20/20. Sixty-seven cases (71 eyes) of sclopetaria have been reported, of which 59 cases (61 eyes) met inclusion criteria in this study. Most were young (median age 19.5 years) men (51/59, 88.1%). Thirty-seven eyes were observed while 24 underwent immediate surgery including six pars plana vitrectomies and three scleral buckles. Compared to initial presentation, BCVA improved in 31/48 (64.6%) eyes, remained stable in 12/48 eyes (25.0%), and worsened in 5/48 eyes (10.4%). Ten patients (16.4%) achieved a final BCVA of 20/20 with median follow up time of seven months. In a multivariate model, location of sclopetaria in the macula, temporal retina, or immediate orbital foreign body removal predicted poor final BCVA with an area under receiver operating characteristic curve of 0.767. Conclusions and importance Traumatic chorioretinitis sclopetaria is rare, but reports have increased dramatically over the past two decades. While pars plana vitrectomy may be required for the management of retinal detachments and non-clearing vitreous hemorrhage, close observation is appropriate in most cases. Visual prognosis is poor with most patients attaining 20/200 vision or worse.

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Section: Introductionmentioning

confidence: 99%

Traumatic chorioretinitis sclopetaria: Risk factors, management, and prognosis

Ludwig

Shields

Diana

et al. 2019

American Journal of Ophthalmology Case Reports

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“…This is often accompanied by vitreous, pre-retinal, subretinal and/or choroidal hemorrhages. Furthermore, indirect contrecoup forces transmitted in a posterior-anterior direction behind the globe can result in a macular hole, foveal detachment, commotio retinae and traumatic maculopathy with photoreceptor loss [ [1] , [2] , [3] , [4] ]. A late dramatic pre-retinal fibrogliotic proliferation with pigmentary disturbance frequently occurs [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Grosso and Panico documented one case where repair of the macular hole resulted in an improvement of BCVA from 20/100 to 20/26 [ 3 ]. Kunjukunju et al reported initial hole closure following surgical repair, which re-opened 1 month later with a final visual acuity of 20/200 [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral ocular injuries with globe perforation and retinitis sclopetaria from birdshot shotgun: A case report and review of the literature

Jeng

Reynolds

et al. 2020

Trauma Case Reports

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“…Reported cases of TCR have occurred as a result of missiles such as bullets and splinters of shell penetrating into the orbit, [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] (Fig. 1) as well as unusual objects such as fishing line sinkers.…”

Section: ' Etiology and Presentationmentioning

confidence: 99%