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Br J Ophthalmol 2002;86:473-474 doi:10.1136/bjo.86.4.473-a
  • Letter

Optical coherence tomography imaging of severe commotio retinae and associated macular hole

  1. R Ismail1,
  2. V Tanner1,
  3. T H Williamson2
  1. 1Royal Berkshire Hospital, London Road, Reading, RG1 5AN, UK
  2. 2St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH, UK
  1. Correspondence to: Mr V Tanner; tannerone{at}aol.com
  • Accepted 26 September 2001

Commotio retinae results in retinal opacification following blunt trauma. Mild commotio retinae usually settles spontaneously with minimal sequelae but more severe cases are associated with visual loss. We are not aware of any previous reports describing optical coherence tomography (OCT) imaging of severe commotio retinae with an associated full thickness macular hole (FTMH).

Case report

A 15 year old boy presented 24 hours after blunt trauma from a football striking his right eye. On examination his best corrected visual acuity was counting fingers right eye and 6/6 left. Biomicroscopic examination revealed extensive commotio retinae over the posterior pole, no posterior vitreous detachment (PVD), and a FTMH. Colour photography and OCT imaging (OCT 2000 scanner, Zeiss-Humphrey) were performed (Fig 1). OCT confirms a FTMH and demonstrates extensive disruption of photoreceptor outer segments …

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