SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY FINDINGS IN A CASE OF WHIPLASH MACULOPATHY WITH INCOMPLETE RESOLUTION
| Autor: | Chiara Della Guardia, Simonetta Morselli, Ezio Cappello, Elisa Cecchin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures Fundus (eye) 01 natural sciences 03 medical and health sciences 0302 clinical medicine Optical coherence tomography Foveal Ophthalmology Whiplash Medicine 0101 mathematics External limiting membrane Macular edema medicine.diagnostic_test business.industry 010102 general mathematics General Medicine medicine.disease eye diseases medicine.anatomical_structure 030221 ophthalmology & optometry Maculopathy sense organs medicine.symptom business |
| Zdroj: | RETINAL Cases & Brief Reports. 15:421-425 |
| ISSN: | 1935-1089 |
| Popis: | PURPOSE To report spectral domain optical coherence tomography (OCT) findings of a patient who experienced bilateral visual loss after a motorcycle accident. METHODS A 51-year-old man presented to the emergency department complaining of bilateral visual loss after a motorcycle falling down. A complete ophthalmologic examination and OCT testing were made on the same day of the accident. Follow-up was made at 2 days, 2 weeks, 5 months, and 12 months adding central visual field assessment using Humphrey automated perimetry. RESULTS At presentation, best-corrected visual acuity was 20/200 in both eyes, anterior segment was normal, and fundus examination showed a bilateral macular edema confirmed by OCT. After 2 days, visual acuity recovered to 20/25. Optical coherence tomography findings showed foveal detachment, hyperreflective clump below external limiting membrane, and hyperreflectivity of Henle layer nasally to the fovea. After 15 days, visual acuity was 20/20, but vision was altered by a paracentral scotoma and some irregularities of OCT findings persisted. At 1 year of follow-up, best-corrected visual acuity was 20/20, and paracentral scotoma was very tiny in the right eye, whereas larger and deeper in the left eye. Optical coherence tomography was normal in the right eye, whereas some fragmentations of interdigitation zone were still evident in the left eye. CONCLUSION We report a case of bilateral whiplash maculopathy from vitreoretinal traction subsequent to road traffic accident. After 1 year of follow-up, visual acuity was restored but paracentral scotoma persisted. Optical coherence tomography appearance of the left eye was still abnormal. |
| Databáze: | OpenAIRE |
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