Commotio-Retinae

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    • By Luiz Guilherme Freitas, MD, MsC, PhD
      Hospital De Olhos Santa Luzia
      Co-author(s): Marilia Maruza, MD; Renato Silva, MD, Clovis Freitas, MD, Fabiana Gonçalves, MD; Luiz Guilherme Freitas, MD, MsC, PhD
    • Uploaded on Sep 22, 2021.
    • Last modified by Joshua Friedman on Apr 15, 2022.
    Image of the week
    Apr 17, 2022
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    Rating
    Appears in
    22-Sep-2021
    Condition/keywords
    commotio retinae, blunt trauma, retinal whitening, Berlin's edema
    Photographer
    Diogo Melo, Santa Luzia Eye Hospital Recife - PE – Brazil
    Imaging device
    Fundus camera
    Description
    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.

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