Berlin's Edema with Peripheral Commotio and Choroidal Rupture After Blunt Trauma

• 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 1 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. Best-corrected visual acuity was counting fingers. Color fundus photograph of the right eye (OD) obtained with Zeiss Clarus shows clear media and a well-perfused optic disc with normal coloration and minimal blurring of its margins. Diffuse peripapillary retinal whitening with subtle elevation is present, extending 360 degrees around the optic nerve head. The macula is involved, demonstrating whitish discoloration and mild elevation extending from the nasal side. Retinal vessels are mildly tortuous. Inferiorly, a choroidal rupture measuring approximately 10–12 disc diameters is noted, with a pinkish-white appearance, hyperpigmented borders, and visible underlying choroidal vessels. Inferonasal to the optic nerve head, a small epiretinal hemorrhage with a whitish center is present. The peripheral retina demonstrates circumferential whitening consistent with commotio retinae.

Related files