SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHY in PATIENTS WITH COMMOTIO RETINAE

SPECTRAL-DOMAIN OPTICAL COHERENCE TOMOGRAPHY in PATIENTS WITH COMMOTIO RETINAE

Author Souza-Santos, Franklin Autor UNIFESP Google Scholar
Lavinsky, Daniel Autor UNIFESP Google Scholar
Moraes, Nilva S. Autor UNIFESP Google Scholar
Castro, Andre R. Autor UNIFESP Google Scholar
Cardillo, Jose A. Google Scholar
Farah, Michel E. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hosp Olhos Araraquara
Abstract Purpose: To describe the morphologic characteristics of commotio retinae using spectral-domain optical coherence tomography and to evaluate its utility in prognosis and follow-up.Methods: Consecutive patients with commotio retinae underwent complete ophthalmic examination, color fundus photography, spectral-domain optical coherence tomography, fundus autofluorescence, and near-infrared autofluorescence.Results: There were 11 eyes of 11 patients (8 men), with a mean age of 30.8 +/- 12.1 years. the follow-up ranged from 9 days to 6 months. Spectral-domain optical coherence tomography identified hyperreflectivity underneath the inner/outer segment junction in the area of commotio retinae in 9 patients (81.1%), which subsided in a few days. Five patients (45.5%) revealed areas of disruption of the inner/outer segment junction and hyperreflectivity of the overlying retina, which progressed to external retinal atrophy and visual loss (P = 0.002). the 5 patients with visual sequelae revealed pigment disorders and alterations in fundus autofluorescence and near-infrared autofluorescence during follow-up, and 3 patients (60%) presented with intraretinal hemorrhages.Conclusion: Spectral-domain optical coherence tomography of mild lesions with good visual outcome showed transient hyperreflectivity of the outer retina. the cases with severe trauma were related to acute disruption of the inner/outer segment junction and hyperreflectivity of the overlying retina and were regularly associated with retinal atrophy, pigment disturbance, and poor visual prognosis. RETINA 32: 711-718, 2012
Keywords Berlin's edema
commotio retinae
spectral-domain optical coherence tomography
Language English
Date 2012-04-01
Published in Retina-the Journal of Retinal and Vitreous Diseases. Philadelphia: Lippincott Williams & Wilkins, v. 32, n. 4, p. 711-718, 2012.
ISSN 0275-004X (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 711-718
Origin http://dx.doi.org/10.1097/IAE.0b013e318227fd01
Access rights Closed access
Type Article
Web of Science ID WOS:000302232800011
URI http://repositorio.unifesp.br/handle/11600/34768

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