title: Macular optical coherence tomography findings following blunt ocular trauma.
abstract: This case report describes the optical coherence tomography (OCT) results of Berlin's edema in a male subject following blunt ocular trauma from a soccer ball. A 27-year-old male presented with blurred vision in his left eye following blunt trauma. On admission, he underwent a complete eye examination and an OCT of the macula. Fundoscopy revealed commotio retinae, observed as an abnormal cream-colored discoloration of the fovea. The OCT showed outer photoreceptor segment disruption, retinal pigment epithelium inter-digitation, and intra-retinal edema of the outer nuclear layer. Following initial management, a repeat OCT after 3 months showed near complete resolution. OCT can be a useful adjunct for monitoring the progress of Berlin's edema secondary to blunt ocular trauma because Berlin's edema may present similarly clinically to other ocular trauma, but can affect different layers of the retina depending on the type of injury to the eye.
authors.affiliation: Tennent Institute of Ophthalmology, Gartnavel General Hospital (NHS Greater Glasgow and Clyde Trust), Glasgow, UK.
authors.forename: Dilys
authors.initials: D
authors.lastname: Oladiwura
authors.affiliation: Tennent Institute of Ophthalmology, Gartnavel General Hospital (NHS Greater Glasgow and Clyde Trust), Glasgow, UK.
authors.forename: Lik Thai
authors.initials: LT
authors.lastname: Lim
authors.affiliation: University of Glasgow, Glasgow, UK.
authors.forename: Elliott Yann
authors.initials: EY
authors.lastname: Ah-Kee
authors.affiliation: Falkirk Community Hospital (Forth Valley NHS Trust), Falkirk, UK.
authors.forename: James Angus
authors.initials: JA
authors.lastname: Scott
keywords: Berlin’s edema; OCT; commotio retinae; ocular trauma; optical coherence tomography