title: Optical coherence tomography characteristics of a hemorrhagic detachment of the retinal pigment epithelium after blunt trauma.
abstract: OBJECTIVE
  To report traumatic, hemorrhagic detachment of the retinal pigment epithelium that was detected by optical coherence tomography.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  A 17-year-old boy with hemorrhagic fundus lesions caused by blunt ocular trauma was examined by optical coherence tomography and angiography.
  
  
  RESULTS
  Initially, two dark red, mounded lesions were seen, with one in the macula and the other adjacent to the optic disk. The lesions blocked the fluorescence on fluorescein and indocyanine green angiography. Optical coherence tomography demonstrated dome-shaped elevations of the retinal pigment epithelium at each lesion. Four months later, the retinal pigment epithelium detachments disappeared in the tomography images, and no scarring was evident ophthalmoscopically. Small choroidal ruptures were detected in each lesion by angiography.
  
  
  CONCLUSIONS
  Optical coherence tomography was useful in evaluating the site of the hemorrhage in the chorioretinal layers caused by blunt ocular trauma.
authors.affiliation: Department of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, Ishikawa, Japan. eyetomo@kenroku.kanazawa-u.ac.jp
authors.forename: Tomomi
authors.initials: T
authors.lastname: Higashide
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Sugiyama
mesh_terms: D000293:Adolescent; D001484:Baseball / Q000293:injuries*; D003941:Diagnostic Techniques, Ophthalmological; D005131:Eye Injuries / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D007368:Interferometry / Q000379:methods*; D008027:Light; D008297:Male; D010857:Pigment Epithelium of Eye / Q000293:injuries* / Q000503:physiopathology; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D014054:Tomography / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology
chemical_list: D007208:Indocyanine Green