FOCAL POSTTRAUMATIC CHOROIDAL GRANULOMATOUS INFLAMMATION

PURPOSE: This study was performed to describe the clinicopathologic fe atures of a group of patients with posttraumatic unilateral focal chor oidal granulomatous inflammation. METHODS: Enucleated eyes with focal choroidal granulomatous inflammation without clinical signs of contral ateral ocular inflammation were identified. Clinical and pathologic fe atures were recorded. RESULTS: Six enucleated eyes that had been injur ed by projectiles had focal uveal granulomatous inflammation of the po sterior choroid. Four eyes had uvea attached to or incarcerated into t he wound. Two eyes had foreign material associated with the granulomat ous inflammation, and two eyes had a disrupted lens with lens-induced inflammation. Two eyes exhibited the focal granulomatous inflammation- at the site of a choroidal rupture. None of the six enucleated eyes co ntained Dalen-Fuchs' nodules. CONCLUSIONS: Focal choroidal granulomato us inflammation may occur as a result of penetrating ocular trauma. Th e origin of this condition is unknown, although it likely represents a reaction to a foreign body.