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| OPHTHALMIC IMAGE |
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| Year : 2020 | Volume
: 58
| Issue : 4 | Page : 318-319 |
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A rare presentation of bilateral subclinical macular commotio retinae
Shruthy Vaishali Ramesh1, Prasanna Venkatesh Ramesh2, Ramesh Rajasekaran3, Meena Kumari Ramesh1
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 Submission | 31-Jul-2020 |
| Date of Decision | 07-Aug-2020 |
| Date of Acceptance | 18-Aug-2020 |
| Date of Web Publication | 16-Dec-2020 |
Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy - 641 009, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjosr.tjosr_99_20
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 Jan 28];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
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 | 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
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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 | |  |
| 1. | Andrew N, Slattery J, Gilhotra J. Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae. Indian J Ophthalmol 2014;62:879.  [ 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. |
| 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. |
[Figure 1], [Figure 2]
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