[Retinal necrosis after blunt bulbus trauma].
BACKGROUND
Acute retinal necrosis is a rare complication of blunt eye injury. We report about a patient with this type of retinal break.


METHODS
A 20-year-old male was referred to our hospital after a blunt injury of his left eye due to a ball. Visual acuity was 1.0 and the anterior segment was completely normal. A large retinal necrosis surrounded by a Berlin edema was present in the upper temporal part of the globe. A partial retinal detachment was present. The retina reattached within two weeks without further treatment and a characteristic granular hyperpigmentation developed. The edge of the retinal break was treated by photocaogulation.


CONCLUSIONS
The affected patient was young and had a solid vitreous, providing internal tamponade of the retina in spite of a large retinal break. In these patients, the clinical course of an acute retinal necrosis after blunt injury should be waited for. However, a retinal detachment that persists after retinal edema disappeared is caused by pathologic vitreous changes and requires surgical treatment.
Hesse
L
L
Univ.-Augenklinik Marburg.
Bodanowitz
S
S
Kroll
P
P
D000328:Adult; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology; D015882:Retinal Necrosis Syndrome, Acute / Q000175:diagnosis / Q000209:etiology*; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis