Oladiwura Dilys, Lim Lik Thai, Ah-Kee Elliott Yann, Scott James Angus
Tennent Institute of Ophthalmology, Gartnavel General Hospital (NHS Greater Glasgow and Clyde Trust), Glasgow, UK.
University of Glasgow, Glasgow, UK.
Clin Ophthalmol. 2014 May 19;8:989-92. doi: 10.2147/OPTH.S64082. eCollection 2014.
This case report describes the optical coherence tomography (OCT) results of Berlin's edema in a male subject following blunt ocular trauma from a soccer ball. A 27-year-old male presented with blurred vision in his left eye following blunt trauma. On admission, he underwent a complete eye examination and an OCT of the macula. Fundoscopy revealed commotio retinae, observed as an abnormal cream-colored discoloration of the fovea. The OCT showed outer photoreceptor segment disruption, retinal pigment epithelium inter-digitation, and intra-retinal edema of the outer nuclear layer. Following initial management, a repeat OCT after 3 months showed near complete resolution. OCT can be a useful adjunct for monitoring the progress of Berlin's edema secondary to blunt ocular trauma because Berlin's edema may present similarly clinically to other ocular trauma, but can affect different layers of the retina depending on the type of injury to the eye.
本病例报告描述了一名男性受试者在被足球钝性眼外伤后发生柏林水肿的光学相干断层扫描（OCT）结果。一名27岁男性在钝性外伤后出现左眼视力模糊。入院时，他接受了全面的眼部检查和黄斑OCT检查。眼底镜检查发现视网膜震荡，表现为中央凹异常的奶油色变色。OCT显示外层光感受器节段破坏、视网膜色素上皮指状交叉和外层核层视网膜内水肿。初始治疗后，3个月后的重复OCT显示几乎完全消退。OCT可作为监测钝性眼外伤继发柏林水肿进展的有用辅助手段，因为柏林水肿在临床上可能与其他眼外伤表现相似，但根据眼部损伤类型可影响视网膜的不同层。
