Unusual Post-Traumatic Subretinal Hemorrhages Reveal Angioid Streaks

Background

Angioid streaks (AS) were initially reported by Doyne in 1889 and are a descriptive terms for fundscopically visible lines with reddish or brownish appearance and ragged border of varying width, that usually spread radially from the optic nerve head [1], [2].

AS are mainly asymptomatic but can affect visual acuity if complications develop. In up to 80 % of patients with AS, choroidal neovascularization occur [3], which is usually treated with anti-VEGF intraocular injections as thermotherapy or laser photocoagulation are probably not efficient [1]. Patients with AS may develop breaks of the Bruchʼs membrane even after mild traumatic head injuries since their Bruchʼs membrane is brittle [1]. Significant visual impairment is reported to develop in 15 % of patients with AS who suffer head trauma and regular examination is required to assess changes before and after injury [4].

We reported here a case of AS discovered after a blunt trauma in a young healthy patient.

• References

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