A patient with blunt trauma causing choroidal rupture should be counseled about what long-term risk and follow-up plan?

• A. Risk of choroidal neovascularization; follow-up at 2 weeks and 6 months
• B. No risk after healing
• C. Needs immediate laser therapy
• D. Intraocular pressure monitoring only

Answer: (A)

Choroidal rupture from blunt trauma carries a real risk of developing choroidal neovascularization years after the injury. The rupture breaks Bruch’s membrane and can allow neovascular tissue from the choroid to grow under the retina, potentially causing vision loss if it advances. Because CNV can manifest weeks to months later, a two-part follow-up plan is sensible: an early check around two weeks to assess initial healing and screen for any early changes, and a later check around six months to detect delayed CNV or evolving scarring. Regular imaging with OCT and, if indicated, fluorescein angiography helps catch CNV early so treatment with intravitreal anti-VEGF can be started promptly to preserve vision. Immediate laser therapy isn’t appropriate as a preventive measure, and monitoring only intraocular pressure misses the key long-term risk.