Retinal Pigment Changes After Blunt Ocular Trauma

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File number: 26648


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    • By Rita Couceiro, MD, MS
      Co-author(s): Filipa Teixeira, Serviço de Oftalmologia do Hospital de Santa Maria, Lisboa, Portugal
    • Uploaded on Jun 27, 2016.
    • Last modified by Caroline Bozell on Jun 27, 2016.
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    Appears in
    Miscellaneous
    Condition/keywords
    commotio retinae, pigment changes, blunt trauma
    Photographer
    Rita Couceiro, Serviço de Oftalmologia do Hospital de Santa Maria, Lisboa, Portugal
    Imaging device
    Optical coherence tomography system
    Description
    A 19-year-old man suffered blunt trauma of the left eye with a ball during soccer practice. At day 3 after trauma (upper pictures) the retinal area superior to the fovea looked pale and visual acuity was reduced to 20/32. This area revealed hypersignaling of retinal layers on OCT and the foveal area showed a localized disruption of retinal layers above the RPE. At day 30 (lower pictures) the retinal area of pallor showed pigmentary changes and OCT revealed atrophy of the external retinal layers. However the localized subfoveal retinal disruption was improved and only a slight disruption was seen on OCT at the ellipsoid level. Visual acuity of the left eye was restored to 20/20 although a scotoma remained.

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