Berlin's Edema

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File number: 134215

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    • By Brahim Khouri
      APEC
      Co-author(s): Julian Villarreal @julianvillarreal.o, Alexis Ramirez @alexisramirezv, Angie Maldonado @angie03_04
    • Uploaded on Apr 28, 2026.
    • Last modified by Joshua Friedman on Apr 29, 2026.
    Rating
    Appears in
    Miscellaneous
    Condition/keywords
    Berlin's edema, commotio retinae, Choroidal Rupture, Blunt Trauma
    Photographer
    Brahim Khouri, APEC, Mexico
    Imaging device
    Fundus camera
    Description
    A 13 year-old patient presented 2 days after blunt trauma to the right eye (OD) caused by a slingshot stick, with immediate pain and ocular bleeding. Macular OCT of the right eye (OD) demonstrates multiple hyperreflective dots within the vitreous cavity. The vitreoretinal interface is preserved. There is loss of the normal foveal depression due to the presence of subretinal fluid involving the macula. The inner retinal layers maintain normal architecture, with preserved continuity and parallelism. The outer retinal layers, particularly on the nasal side, show focal thickening and irregularity. These findings correlate with the areas of retinal whitening observed clinically and are consistent with traumatic outer retinal disruption in the setting of Berlin edema.

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