挥鞭样损伤后罕见的双侧创伤性黄斑病变。
Unusual bilateral traumatic maculopathy following whiplash injury.
作者信息
Chronopoulos Argyrios, Lipski Andreas, Jonescu-Cuypers Christian-Paul, Thumann Gabriele
机构信息
Department of Ophthalmology, University Hospitals of Geneva, Geneva, Switzerland.
Department of Ophthalmology, Campus Benjamin Franklin, Charité, University Hospital, Berlin, Germany.
出版信息
BMJ Case Rep. 2014 Nov 20;2014:bcr2014208068. doi: 10.1136/bcr-2014-208068.
An unusual extensive bilateral macular oedema (MO) with spontaneous resolution occurred following a car crash accident. Qualitative and quantitative analysis of the macular region using spectral domain optical coherence tomography (SD-OCT) and multifocal electroretinogram (mfERG) was performed daily during the first 7 days, as well as at 3 and 6 months following the accident. SD-OCT examination demonstrated extensive MO accompanied by neurosensory detachment and subretinal fluid. During the 7 days following the accident there was gradual resolution of the oedema accompanied by visual recovery. One year later no anatomical changes were observed, the mfERG showed complete recovery and visual acuity returned to normal level. Although whiplash is a common injury in motor vehicle accidents, whiplash maculopathy (WMP) is rarely reported, most likely due to underdiagnosis. Here we describe the spontaneous resolution of a severe MO after whiplash injury in a car crash accident.
一起车祸后出现了罕见的广泛性双侧黄斑水肿（MO）且自行消退。在事故后的前7天以及事故后3个月和6个月，每天使用光谱域光学相干断层扫描（SD - OCT）和多焦视网膜电图（mfERG）对黄斑区域进行定性和定量分析。SD - OCT检查显示广泛性MO伴有神经感觉脱离和视网膜下液。事故后的7天内，水肿逐渐消退，同时视力恢复。1年后未观察到解剖学变化，mfERG显示完全恢复，视力恢复到正常水平。虽然挥鞭样损伤在机动车事故中很常见，但挥鞭样黄斑病变（WMP）很少被报道，很可能是由于诊断不足。在此我们描述了一起车祸事故中挥鞭样损伤后严重MO的自行消退情况。
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