Atypical traumatic scleral rupture: Presentation of a case

Abstract

Case report

We describe the case of a 42-year-old man who, after suffering an eye contusion, subsequently presented with a posterior scleral rupture, which was diagnosed using orbital computed tomography (OCT), and controlled without surgical treatment. The OCT performed two weeks later showed that the eyeball was intact.

Conclusions

A scleral rupture must be suspected when these three characteristics are present: hyphema, subconjunctival and vitreous hemorrhage.

Resumen

Caso clínico

Se presenta el caso clínico de un varón de 42 años que tras sufrir una contusión ocular presentaba una ruptura escleral posterior, diagnosticada a través de la TAC orbitaria, es controlado sin tratamiento quirúrgico. Después de 2 semanas, en la TAC se observa un globo ocular íntegro.

Conclusiones

La existencia de hipema junto a hemorragia conjuntival y hemovítreo, nos debe hacer siempre pensar en la posibilidad de ruptura escleral.