• Users Online: 119
  • Print this page
  • Email this page


 
 Table of Contents  
OPHTHALMIC IMAGE
Year : 2020  |  Volume : 58  |  Issue : 4  |  Page : 318-319

A rare presentation of bilateral subclinical macular commotio retinae


1 Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
2 Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
3 Department of Paediatric Ophthalmology and Strabismus, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India

Date of Submission31-Jul-2020
Date of Decision07-Aug-2020
Date of Acceptance18-Aug-2020
Date of Web Publication16-Dec-2020

Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy - 641 009, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_99_20

Get Permissions


How to cite this article:
Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK. A rare presentation of bilateral subclinical macular commotio retinae. TNOA J Ophthalmic Sci Res 2020;58:318-9

How to cite this URL:
Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK. A rare presentation of bilateral subclinical macular commotio retinae. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2021 Apr 23];58:318-9. Available from: https://www.tnoajosr.com/text.asp?2020/58/4/318/303677



A 25-year-old patient presented with defective vision, post blunt force trauma to both eyes with fist during an assault. His best-corrected visual acuity in both eyes was 20/30. Fundus examination revealed absence of foveal reflex [Figure 1] and [Figure 2]d, infrared (IR) image showed hyporeflective mottling of the macula [Figure 1] and [Figure 2]b, autofluorescence was normal [Figure 1] and [Figure 2]c, and optical coherence tomography (OCT) revealed abnormal hyper-reflectivity and nodularity of the photoreceptor Outer segment (OS) layer [Figure 1] and [Figure 2]a, diagnosing a rare bilateral subclinical commotio retinae [Figure 1] and [Figure 2]c. The subtlety of OCT can be overlooked, hence IR offers diagnostic accessory for detecting subclinical commotio retinae.[1],[2],[3]
Figure 1: Right eye. (a) Optical coherence tomography image showing abnormal hyper-reflectivity of Outer segment (OS) layers with nodularity of photoreceptors (red arrows). (b) Infrared image showing hyporeflectance of the macula (red arrow). (c) Fundus autofluorescence showing no pathology. (d) Mosaic view of color fundus photograph of the right eye showing absent foveal reflex

Click here to view
Figure 2: Left eye. (a) Optical coherence tomography image showing transient hyper-reflectivity of Outer segment (OS) layers (red arrow). (b) Infrared image showing hyporeflectance of the macula (red arrow). (c) Fundus autofluorescence showing no pathology. (d) Mosaic view of color fundus photograph of the left eye showing absent foveal reflex

Click here to view


Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the legal guardian has given his consent for images and other clinical information to be reported in the journal. The guardian understands that names and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Andrew N, Slattery J, Gilhotra J. Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae. Indian J Ophthalmol 2014;62:879.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Souza-Santos F, Lavinsky D, Moraes NS, Castro AR, Cardillo JA, Farah ME. Spectral-domain optical coherence tomography in patients with commotio retinae. Retina 2012;32:711-8.  Back to cited text no. 2
    
3.
Park JY, Nam WH, Kim SH, Jang SY, Ohn YH, Park TK. Evaluation of the central macula in commotio retinae not associated with other types of traumatic retinopathy. Korean J Ophthalmol 2011;25:262-7.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
References
Article Figures

 Article Access Statistics
    Viewed342    
    Printed6    
    Emailed0    
    PDF Downloaded31    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]