Kefeli Işıl, Utine Canan Aslı, Kaya Mahmut, Kaynak Suleyman
Department of Ophthalmology, Dokuz Eylul University, Izmir, Türkiye.
Private Practice, Izmir, Türkiye.
Beyoglu Eye J. 2023 May 1;8(2):128-133. doi: 10.14744/bej.2023.38233. eCollection 2023.
Optical coherence tomography-angiography (OCTA) is a fast, reliable, and non-invasive technique for the diagnosis and follow-up of patients with commotio retinae (CR). Severity of the damage to the retinal and choroidal microvasculature in OCTA imaging and the visual prognosis are directly related to the severity of trauma. There are a few published reports on OCTA in CR that shows alterations of the retinal or superficial choroidal vessels and choriocapillary plexus. OCTA imaging seems to be predictive for visual prognosis. Herein, we present a 6-year-old boy, who had blunt trauma to the right eye with a stick during outdoor playing with visual acuity reduction to 0.1 following resolution of the Berlin's edema. In our case, OCTA revealed damage to the outer layers of the retinae and choriocapillaris and resulting in permanent vision loss. OCTA is a non-invasive, rapid, and safe imaging technique that qualitatively and quantitatively analyzes blood flow from the superficial capillary plexus to the choriocapillaris, which can be predictive in the visual prognosis.
光学相干断层扫描血管造影（OCTA）是一种用于视网膜震荡（CR）患者诊断和随访的快速、可靠且无创的技术。OCTA成像中视网膜和脉络膜微血管损伤的严重程度与视觉预后直接相关，而视觉预后又与创伤的严重程度直接相关。关于CR的OCTA已有一些发表的报告，显示视网膜或脉络膜浅层血管及脉络膜毛细血管丛有改变。OCTA成像似乎对视觉预后具有预测性。在此，我们报告一名6岁男孩，他在户外玩耍时右眼被棍棒钝击，柏林水肿消退后视力降至0.1。在我们的病例中，OCTA显示视网膜外层和脉络膜毛细血管受损，导致永久性视力丧失。OCTA是一种无创、快速且安全的成像技术，可定性和定量分析从浅表毛细血管丛到脉络膜毛细血管的血流，这对视觉预后具有预测性。
