[Optical coherence tomography imaging in commotio retinae: case report]

Area of Science:

• Ophthalmology
• Medical Imaging

Background:

• Blunt ocular trauma can cause commotio retinae, leading to vision impairment.
• Berlin's edema is a specific manifestation of commotio retinae.
• Assessing prognosis in retinal trauma is crucial for patient management.

Observation:

• Two patients with blunt ocular trauma and decreased vision were evaluated.
• Optical coherence tomography (OCT) and retinography were used for assessment.
• Visual acuity ranged from 20/25 to counting fingers, with varying degrees of retinal opacification.

Findings:

• OCT revealed reduced foveal depression in one patient and disorganization of retinal layers in another.
• Complete functional and anatomical resolution was observed in the first patient.
• The second patient experienced permanent visual loss despite initial evaluation.

Implications:

• OCT is a valuable tool for evaluating retinal trauma, including commotio retinae.
• OCT findings correlate with visual outcomes and can help predict prognosis.
• Anatomical analysis via OCT aids in understanding retinal trauma pathophysiology.