Choroidal neovascularization due to choroidal rupture after blunt ocular trauma – OCT Angiography better than fluorescein angiography for diagnosis and treatment follow-up – A Case Report

A 43-year-old man presented with decreased vision in the left eye after a blunt ocular trauma. Visual acuity was of 20/20 in the right eye and 20/100 in the left eye. Fundus examination revealed a choroidal rupture and a submacular hemorrhage. Three months after trauma it was evident the development of choroidal neovascularization (CNV) and intravitreal ranibizumab injections were initiated. The optical coherence tomography angiography (OCTA) was better than fluorescein angiography to show evidence of CNV and was essential to follow up the progression and guide the therapeutic decisions. The treatment decision based on the OCTA findings lead to a good visual acuity outcome with a visual acuity of 20/25 seven months after the trauma.