File number: 85090
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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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- Appears in
- commotio retinae, blunt trauma, retinal whitening, Berlin's edema
- Diogo Melo, Santa Luzia Eye Hospital Recife - PE – Brazil
- Imaging device
- Fundus camera
- 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.