Choroidal rupture associated with forceps delivery.
OBJECTIVE
To report a case of choroidal rupture associated with forceps delivery.


METHODS
Case report.


RESULTS
We examined a 4-year-old boy with a history of a retinal scar in the right eye. The child was delivered with forceps and had bitemporal ecchymoses at birth. There was no other history of trauma. Ophthalmoscopic examination of the right eye with a vision of counting fingers revealed linear scars from choroidal rupture in the posterior pole, including one through the macula. Anterior segment examination was normal. Examination of the left eye was completely normal.


CONCLUSIONS
Ocular trauma associated with forceps delivery may rarely result in choroidal ruptures, even in the absence of external signs of injury, such as breaks in Descemet membrane.
Department of Pediatric Ophthalmology and Strabismus and the Center for Genetic Eye Diseases, The Cole Eye Institute, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
M F
MF
Estafanous
M
M
Seeley
E I
EI
Traboulsi
D002675:Child, Preschool; D002829:Choroid / Q000293:injuries* / Q000473:pathology; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D009772:Obstetrical Forceps / Q000009:adverse effects*; D012421:Rupture