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Ophthalmology

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11 out of 34
 

A 10 yr old boy while playing got hit to the left eye by the ball. Which of the following finding on examination would suggest sequel of trauma? (AIPG 2011)



A Optic neuritis

B Pars planitis

C Avulsion of the vitreous from the base

D Equatorial edema

Ans. C Avulsion of the vitreous from the base.

(Ref. Clinical atlas of peripheral retinal disorders by Keith M. Zinn pg. ; Vitreoretinal disease: the essentials By Carl D. Regillo, Gary C. Brown, Harry W. Flynn pg. 518)

Vitreous base avulsion is pathognomonic for blunt ocular trauma.

Avulsion of the Vitreous Base:

a. The vitreous base is firmly attached to the peripheral neurosensory retina as well as to the nonpigmented epithelium of the pars plana. In cases of substantial blunt trauma to the globe, avulsion of the Vitreous Base occurs. It is typically located in the inferotemporal or superotemporal quadrants.

Ref. Harley's pediatric ophthalmology – Page 344…………

b. Superonasal avulsion of the vitreous base is pathognomonic of traumatic retinal detachment. Another form of

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