Bennedjai Amin, Adam Raphaël, Akesbi Jad, Rodallec Thibaut, Vidal Raoul, Gaillard Romain, Nordmann Jean-Philippe
Department of Ophthalmology 2, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSIGHT, University Paris Descartes, Paris, France.
Ophtalmologue, Paris, France.
Case Rep Ophthalmol. 2021 Apr 12;12(1):159-163. doi: 10.1159/000510381. eCollection 2021 Jan-Apr.
The aim of this study is to report a case of bilateral traumatic maculopathy in a 19-year-old male following blunt trauma during 2020 coronavirus disease-2019 national lockdown. Descriptive case report based on data from clinical records, patient observation, and analysis of diagnostic tests. A previously healthy, 19-year-old male presented for a visit in our department at 15-20 National Ophthalmology Institute with complaints of bilateral decreased visual acuity. A history of recent blunt trauma caused by resistance band was reported. Fundus examination recorded fibrosis and inferior preretinal hemorrhages on both eyes. Peripheral retinal examination was normal. Optical coherence tomography showed bilateral increased reflectivity, disruption of the inner/outer segment, and loss of the external limiting membrane. The 6-week follow-up did not show a major recovery. Early detection of posterior segment damage after blunt trauma remains primordial despite worldwide pandemic.
本研究的目的是报告一例19岁男性在2019冠状病毒病全国封锁期间遭受钝器伤后发生双侧创伤性黄斑病变的病例。基于临床记录、患者观察和诊断测试分析数据的描述性病例报告。一名既往健康的19岁男性因双眼视力下降就诊于国家眼科研究所15 - 20科。据报告有近期弹力带导致钝器伤的病史。眼底检查发现双眼有纤维化和下方视网膜前出血。周边视网膜检查正常。光学相干断层扫描显示双眼反射率增加、内外节中断以及外界膜缺失。6周随访未显示明显恢复。尽管全球大流行，但钝器伤后早期发现后段损伤仍然至关重要。
