Indirect traumatic rupture of the choroid classically appears as:

• A A radial streak extending from the optic disc towards the periphery
• B A horizontal line crossing the fovea at the level of the retinal pigment epithelium
• C A crescentic break concentric to the optic disc, usually on the temporal side ✓
• D Multiple random branch-like tears across the mid-periphery

Explanation

Blunt anteroposterior compression stretches the choroid circumferentially, so indirect choroidal ruptures appear as white crescents concentric to the optic disc, most often temporal to it. Direct ruptures occur anteriorly near the impact site. The key clinical point is that such a crescent may extend through the fovea, causing permanent central vision loss, while peripheral breaks may be asymptomatic.

Reference: Parsons' Diseases of the Eye, 23rd ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.