Optical coherence tomography findings of acute traumatic maculopathy following motor vehicle accident.
OBJECTIVE
To describe two cases of acute traumatic maculopathy using optical coherence tomography (OCT) following high-speed motor vehicle accidents.


METHODS
Case reports.


METHODS
Patients were examined soon after the accident using Snellen visual acuity (VA), dilated fundus examination, and OCT. Re-examination was conducted two weeks to one month later.


RESULTS
Both patients experienced an immediate reduction in VA of between 20/120 and 20/200. An abnormal yellow foveal reflex was noted at fundus examination in both cases. OCT revealed outer retinal thickening under the fovea and of the neurosensory retina with preservation of the inner retinal architecture and foveal pit. These OCT changes resolved approximately within two weeks of the accidents with near resolution of the visual disturbance in both cases.


CONCLUSIONS
We describe two cases of acute traumatic maculopathy, including its appearance on OCT imaging.
Pham
Thuan Quoc
TQ
Centre for Vision Research, Department of Ophthalmology, University of Sydney, Westmead Millennium Institute, Westmead, NSW, Australia.
Chua
Brian
B
Gorbatov
Mark
M
Mitchell
Paul
P
D000063:Accidents, Traffic; D000065:Accommodation, Ocular; D000208:Acute Disease; D000328:Adult; D003941:Diagnostic Techniques, Ophthalmological; D005131:Eye Injuries / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D012160:Retina / Q000293:injuries* / Q000473:pathology; D012164:Retinal Diseases / Q000175:diagnosis* / Q000503:physiopathology; D041623:Tomography, Optical Coherence / Q000379:methods*; D014786:Vision Disorders / Q000175:diagnosis; D014792:Visual Acuity