Tenewitz Jake E, Girard Andrew A, Cartwright Mont J
University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.
Medical Eye Associates, 921 North Main Street, Kissimmee, FL, 34744, USA.
Am J Ophthalmol Case Rep. 2021 Sep 22;24:101214. doi: 10.1016/j.ajoc.2021.101214. eCollection 2021 Dec.
We describe a patient who developed a central retinal vein oculsion following a diving hawk attack to her posterior cranium.
A 50-year-old female presented with decreased visual acuity and color perception in the left eye following a diving hawk attack to her right-posterior parietal cranium. Medical history was significant for well-controlled type 2 diabetes, hyperlipidemia, and obesity. Fundoscopy of the left eye revealed pre, intra and subretinal hemorrhages in all 4 quadrants consistent with the "blood and thunder" appearance. Additional findings included optic disk edema, venous dilation and tortuosity. Optical Coherence Tomography of the left eye demonstrated pronounced macular edema with intra and subretinal fluid accumulation. Pattern electroretinography of the left eye was flattened.
There are few documented cases of central retinal vein occlusion following blunt trauma to the cranium in the literature. To the best of our knowledge, this is the first case of central retinal vein occlusion associated with posterior cranial trauma. Also unique to the case is the mechanism of injury whereby the patient was attacked by a hawk at a high-diving velocity.
我们描述了一名患者，她在被一只俯冲的鹰袭击后颅时发生了视网膜中央静脉阻塞。
一名50岁女性在右后顶颅骨被一只俯冲的鹰袭击后，出现左眼视力下降和色觉减退。病史显示其2型糖尿病、高脂血症和肥胖症控制良好。左眼眼底检查显示所有4个象限均有视网膜前、视网膜内和视网膜下出血，符合“血与雷”外观。其他发现包括视盘水肿、静脉扩张和迂曲。左眼光学相干断层扫描显示黄斑明显水肿，伴有视网膜内和视网膜下液体积聚。左眼图形视网膜电图平坦。
文献中鲜有颅骨钝性外伤后发生视网膜中央静脉阻塞的病例记载。据我们所知，这是首例与后颅创伤相关的视网膜中央静脉阻塞病例。该病例的独特之处还在于其损伤机制，即患者被一只高速俯冲的鹰袭击。
