Search results (10 results)

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

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

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

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

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

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

Feb 7 2019 by Somnath Chakraborty, MD

Left eye fundus photo montage of a 45-year-old male showing a large iron foreign body, impacted inferior to the infero-temporal branch vessels with a large patch of surrounding chorio-retinal atrophy, secondary to resolving Commotio retinae

Photographer: Saptarshi Mehta

Condition/keywords: commotio retinae, intraocular foreign body, trauma

Mar 27 2018 by Nichole Lewis

14-year-old male hit in the right eye with a stick. Commotio Retinae with retinal hemorrhages and peripapillary hemorrhage.

Photographer: Nichole Lewis

Condition/keywords: commotio retinae, peripapillary hemorrhage, retinal hemorrhage

Apr 3 2018 by Paulo Bueno

Fundus photograph of an 35-year-old man with commotio retinae after indoor soccer ball blunt trauma.

Photographer: Paulo Bueno, Taubaté, Brazil.

Imaging device: Zeiss Visucam

Condition/keywords: blunt trauma, commotio retinae

Jan 22 2016 by Jorge Morales-Martínez, MD

Fundus photograph of a 27-year-old male that sustained a traumatic injury in his left eye with a paintball projectile. Fundus examination showed a large subretinal hemorrhage, areas of commotio retinae and maculopathy.

Photographer: Jorge Morales-Martínez MD