Evaluation of the Central Macula in Commotio Retinae Not Associated with Other Types of Traumatic Retinopathy.
10.3341/kjo.2011.25.4.262
- Author:
Joo Youn PARK
1
;
Woo Ho NAM
;
Seung Hoon KIM
;
Sun Young JANG
;
Young Hoon OHN
;
Tae Kwann PARK
Author Information
1. Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. tkpark@schmc.ac.kr
- Publication Type:Original Article ; Comparative Study
- Keywords:
Commotio retinae;
Humphrey visual field;
Multifocal electroretinogram;
Spectral domain optical coherence tomography
- MeSH:
Adolescent;
Adult;
Child;
Electroretinography;
Eye Injuries/classification/*complications/pathology;
Female;
Follow-Up Studies;
Humans;
Macula Lutea/*injuries/pathology/physiopathology;
Male;
Middle Aged;
Prognosis;
Retinal Diseases/*etiology/pathology/physiopathology;
Retinal Pigment Epithelium/injuries/pathology/physiopathology;
Retrospective Studies;
Tomography, Optical Coherence;
Trauma Severity Indices;
Visual Acuity;
Visual Fields;
Young Adult
- From:Korean Journal of Ophthalmology
2011;25(4):262-267
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To report on the anatomical and functional changes to the macula in nine patients suffering from commotio retinae not accompanied by any other types of traumatic retinopathy. METHODS: Nine injured eyes with commotio retinae were evaluated soon after ocular trauma with ophthalmic examination, including Spectral-domain optical coherence tomography (SD-OCT). In 12 eyes of 6 patients, Humphrey visual field (HVF) and multifocal electroretinogram (mfERG) were performed. Re-examinations were periodically performed for a mean of 26 days. Data from 9 injured eyes were collected and compared to data collected from the 9 non-affected eyes of the same patients. RESULTS: SD-OCT revealed no significant differences in the foveal thickness and total macular volume between traumatized and intact eyes in all 9 patients. Only 3 out of the 9 injured eyes showed abnormal findings in SD-OCT images such as discontinuity of the inner/outer segment (IS/OS) junction or abnormal hyper-reflectivity from the IS/OS and retinal pigment epithelium (RPE) lines in the macula. HVF and mfERG results did not show any functional deterioration in the injured eyes compared with intact eyes. During follow-up, the commotio retinae resolved in all 9 eyes. The changes to the outer retinal region detected in 3 patients by SD-OCT were also resolved. CONCLUSIONS: Acute retinal changes in commotio retinae, not associated with other retinal pathologies, were resolved without histological and functional sequelae. In a few cases of commotio retinae, SD-OCT revealed transient abnormalities mainly observed at the IS/OS and RPE complexes.
