Tears of the choroid resulting from contusion are generally grouped into two main categories1,2: (a) the direct, which are usually situated anteriorly at the site of impact on the eye, and (b) the indirect, which are usually situated posteriorly, away from the site of impact. The latter tend to be crescent-shaped and to lie concentric to the optic disc.
The incidence of both direct and indirect tears of the choroid is low,3-5 the former being relatively less frequent than the latter. No good illustrations of the gross or microscopic appearance of a direct rupture could be found in either the Hogan-Zimmerman textbook6 or in Duke-Elder's volume.1 Therefore, the purpose of this paper is to describe and illustrate a large direct tear of the choroid.
Report of Case
A 3-year-old boy was hit in the right eye by a suspender. This was followed by massive hyphema. The
KAUFER G, ZIMMERMAN LE. Direct Rupture of the Choroid. Arch Ophthalmol. 1966;75(3):384-385. doi:10.1001/archopht.1966.00970050386014