Search results (44 results)

Feb 13 2025 by Virginia Gebhart

44 year old male presented New Year's Day for trauma after fireworks injury. Choroidal rupture temporal macula, inferior vitreous hemorrhage, and extensive RPE changes in the macula. Significant improvement since initial presentation. Limited central vision, guarded prognosis due to extensive blunt trauma.

Photographer: Virginia Gebhart, Retina Consultants of Carolina

Imaging device: Optos California

Condition/keywords: blunt trauma, choroidal rupture, commotio retinae, firework injury, secondary glaucoma, subretinal hemorrhage, VH, vitreous hemorrhage

Jan 2 2024 by Tahsin Khundkar, MD

37-year-old male with blunt ocular trauma presented with a choroidal rupture, pre -retinal and sub-retinal heme, and a heart shaped patch of commotio retinae.

Photographer: Jeffrey Zeigler, Concord Eye Center

Imaging device: Topcon

Condition/keywords: Choroidal Rupture, commotio retinae, Trauma

Sep 30 2023 by Jacob D. Grodsky, MD

24 year old female who presented after being hit in the head with a metal softball bat after an altercation. The patient reported blurred vision as well as a zig-zag line described as a “lightning strike” across her vision. Examination was significant for a choroidal rupture OD as well as commotio retinae OU.

Condition/keywords: choroidal rupture, commotio retinae, trauma

Sep 21 2023 by Vaidehi Sathaye

Widefield photograph of LE of a 28 year male with Berlin's edema, status post blunt trauma with tennis ball

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: Berlin's edema, commotio retinae

Sep 21 2023 by Vaidehi Sathaye

Fundus photograph of LE of a 28 year male with Berlin's edema, status post blunt trauma with tennis ball

Photographer: Dr. Vaidehi Sathaye

Imaging device: Mirante

Condition/keywords: Berlin's edema, commotio retinae

Aug 21 2023 by Harsh Vardhan Singh, MS

A 13-year-old male with history of trauma with cricket ball presented with inferior dialysis with commotio retinae & retinal hemorrhage

Photographer: Harsh Vardhan Singh, Iva R Kalita

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae

Aug 21 2023 by Harsh Vardhan Singh, MS

A 13-year-old male with history of trauma with cricket ball presented with inferior dialysis with commotio retinae & retinal hemorrhage

Photographer: Harsh Vardhan Singh, Iva R Kalita

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae

Aug 21 2023 by Harsh Vardhan Singh, MS

A 13-year-old male with history of trauma with cricket ball presented with inferior dialysis with commotio retinae & retinal hemorrhage

Photographer: Harsh Vardhan Singh

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae

Aug 21 2023 by Harsh Vardhan Singh, MS

A 13-year-old male with history of trauma with cricket ball presented with inferior dialysis with commotio retinae & retinal hemorrhage

Photographer: Harsh Vardhan Singh

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae

Nov 21 2022 by Akansha Sharma

COLOUR FUNDUS PHOTOGRAPH OF A 35 YEAR OLD MALE WITH BERLIN'S EDEMA STATUS POST FIRE-CRACKER INJURY

Photographer: Dr. Akansha Sharma-Retina Foundation, Ahmedabad

Condition/keywords: Berlin's edema, commotio retinae, firework injury

Apr 29 2022 by Otakar Dušek, M.D. Ph.D.

Color fundus photograph of a 24-year-old woman who was hit by a volleyball in her right eye. This caused whitening of the lower peripheral retina (Berlin's edema) i.e. commotio retinae.

Photographer: Otakar Dušek, Charles University, Prague

Imaging device: Zeiss Clarus

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae

Jan 20 2022 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

Color fundus photograph of a 34-year old man's left eye, 2 hours after a tennis ball injury, showing commotio retinae with Berlin's edema and cherry red spot in the fovea along with linear retinal tears in the temporal equatorial zone. Adjoining OCT slice taken through the break shows full thickness retinal tear without any underlying choroidal rupture.

Photographer: Dr Sukanya Mondal, National Institute of Ophthalmology, Pune. India

Imaging device: Zeiss Clarus 500

Condition/keywords: Berlin's edema, cherry red spot, commotio retinae, retinal tear

Dec 5 2021 by Aditya S Kelkar, MS, FRCS, FASRS,FRCOphth

Color fundus photograph of a 34-year old man's left eye, 2 hours after a tennis ball injury, showing commotio retinae with Berlin's edema and cherry red spot in the fovea along with linear retinal tears in the temporal equatorial zone.

Photographer: Dr Sukanya Mondal. National Institute of Ophthalmology, Pune. India.

Imaging device: Zeiss Clarus 500

Condition/keywords: Berlin's edema, cherry red spot, commotio retinae, retinal tear

Sep 22 2021 by Luiz Guilherme Freitas, MD, MsC, PhD

Fundus photograph of a 30-year-old male patient with blunt injury to the globe. Commotio retinae is retinal whitening/opacification that results from a blunt injury. The ocular findings will often resolve in a matter of days to weeks. Vision loss can result from commotio involving the posterior pole (historically referred to as Berlin’s edema). Clinical findings of commotio include the characteristic retinal whitening. Commotio may result in significant vision loss that can be transient. Healing can result in pigmentary changes and retinal thinning which may be associated with poor visual recovery if the area of involvement is macular.

Photographer: Diogo Melo, Santa Luzia Eye Hospital Recife - PE – Brazil

Condition/keywords: Berlin's edema, blunt trauma, commotio retinae, retinal whitening

Apr 27 2021 by Priya Rasipuram Chandrasekaran, MBBS, DO, DNB, FRCS

This is the fundus photo montage of a 11-year-old boy showing extensive commotio retinae evidenced by the absence of greyish opacification of the retina with the absence of the usual red reflex following blunt trauma to the left eye. There is no pseudo cherry red spot. The right eye has been added for comparison.

Condition/keywords: commotio retinae

Oct 20 2020 by Veronika Yehezkeli

Fundus photograph of a 24-year-old male, made after blunt trauma with a plastic bottle. Note massive commotio retinae and preretinal hemorrhages in the contralateral to trauma area.

Photographer: Veronika Yehezkeli, Meir medical center, Israel

Condition/keywords: blunt trauma, commotio retinae, preretinal hemorrhage, trauma

Oct 20 2020 by Veronika Yehezkeli

Fundus photograph of a 24-year-old male, made after blunt trauma with a plastic bottle. Note massive commotio retinae and preretinal hemorrhages in the contralateral to trauma area.

Photographer: Veronika Yehezkeli, Meir medical center, Israel

Condition/keywords: blunt trauma, commotio retinae, preretinal hemorrhage

Oct 20 2020 by Veronika Yehezkeli

24-year-old man was injured from an explosion of a plastic bottle towards the nasal conjunctiva of his left eye. A massive commotio retinae was diagnosed superotemporally.

Photographer: Veronika Yehezkeli, Meir medical center, Israel

Condition/keywords: blunt trauma, commotio retinae, preretinal hemorrhage

Jun 9 2020 by Brittany Rota

Ultra- widefield pseudocolor image of an 18-year-old male with blunt ocular trauma in the right eye due to a firework injury. The patient presented with commotio retinae (sclopteria), an acute vitreous hemorrhage, choroidal rupture, and a subretinal hemorrhage. The referring physician performed surgery on the lateral rectus muscle which was macerated but not severed, and several orbital fibrous foreign bodies were removed from the posterior orbit. The globe was intact. There is no evidence of retinal tear in the region of sclopetaria; however, there is complete necrosis of the temporal peripheral choroid and retina. The vitreous hemorrhage was slowly clearing on his exam 6-9-2020. The patient is developing subretinal fibrosis. The physician is concerned about the choroidal rupture that is visible through the submacular hemorrhage. There is one rupture that appears to course directly under the fovea. The physician states that if this is the case, his vision most likely will be 20/200 or worse. His vision was hand motion in all fields except nasally, which he was unable to see hand motion at his visit on 6-9-2020.

Photographer: Brittany Rota

Imaging device: Optos California

Condition/keywords: blunt trauma, choroidal rupture, commotio retinae, fibrosis, firework injury, fundus photograph, hand motion, necrotizing retina, Optos, pseudocolor, subretinal hemorrhage, vitreous hemorrhage

May 5 2020 by John S. King, MD

A 43-year-old white male who was injured while racing his side by side 4 wheel off-road vehicle (this is a video he showed me on his phone). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see {https://imagebank.asrs.org/file/53828/sxs-crash-during-a-race-causing-valsalva-retinopathy-od} for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident, and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Condition/keywords: motor vehicle accident, trauma, valsalva retinopathy

Apr 29 2020 by John S. King, MD

43-year-old white male who was injured while racing a side by side 4-wheel off-road vehicle (see Video: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see picture for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly, and small superficial heme at nasal edge of the optic disc; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident (video), and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

Photographer: Asli Ahmed

Imaging device: Topcon 50

Condition/keywords: valsalva retinopathy

Nov 5 2019 by Nichole Lewis

11-year-old male with blunt ocular trauma from a soccer ball. Commotio Retinae, retinal hemorrhages, vitreous hemorrhage, multiple retinal tears and a traumatic macular hole. VA 20/70.

Photographer: Nichole Lewis

Imaging device: Optos

Condition/keywords: blunt trauma, commotio retinae, retinal hemorrhage, retinal tear, traumatic macular hole, vitreous hemorrhage

Jun 1 2019 by John S. King, MD

39-year-old African American female with central scotoma two days since blunt head injury in MVA, sent for evaluation of macular hole. 20/150 OS with IOP 12 and no RAPD. No macular hole present. Macular findings include commotio retinae and subfoveal hemorrhage.

Photographer: Stacey Coleman

Imaging device: Topcon

Condition/keywords: blunt trauma, commotio retinae, macular pseudohole, subretinal hemorrhage

Apr 8 2019 by Gary R. Cook, MD, FACS

32-year-old Asian male with peripapillary and macular hemorrhages, retinal edema, and 2 concentric choroidal ruptures secondary to blunt trauma OS; V.A. = count fingers at 1 ft.

Imaging device: Topcon VT-50

Condition/keywords: blunt trauma, choroidal rupture, commotio retinae, macular hemorrhage, retinal edema

Feb 25 2019 by Lancaster Course in Ophthalmology

Macular hole after commotio retinae.

Condition/keywords: commotio retinae, macular hole