title: Functional and Morphological Evaluation of Traumatized Eyes With Berlin's Edema Affecting the Macula Using mfERG, Microperimetry, and SD-OCT.
abstract: To describe the structural and functional changes that occur in traumatic Berlin's edema involving the macula through assessment with multifocal electroretinogram (mfERG), microperimetry, fundus photography, and spectral-domain optical coherence tomography (SD-OCT).
  
  
  
  Retrospective case series of five eyes from four patients with macular traumatic Berlin's edema. Patients underwent baseline mfERG (three eyes), MP1 microperimetry (three eyes), fundus photography (five eyes), and SD-OCT (five eyes).
  
  
  
  All eyes with Berlin's edema showed abnormal findings on baseline SD-OCT, including disruption and fragmentation of the inner segment/ outer segment layer. In two patients with unilateral blunt ocular trauma who underwent mfERG, there was complete loss of the foveal peak in affected eyes. All three eyes that underwent microperimetry showed depressed retinal sensitivity in the area of Berlin's edema.
  
  
  
  SD-OCT, microperimetry, and mfERG can be used to help diagnose, stratify traumatic severity, and follow structural and functional progression over time in patients with Berlin's edema. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:114-121.].
authors.forename: Joseph Daniel
authors.initials: JD
authors.lastname: Boss
authors.forename: Joaquin
authors.initials: J
authors.lastname: Tosi
authors.forename: Inna
authors.initials: I
authors.lastname: Glybina
authors.forename: Asheesh
authors.initials: A
authors.lastname: Tewari
authors.forename: Gary W
authors.initials: GW
authors.lastname: Abrams
mesh_terms: D000328:Adult; D004596:Electroretinography / Q000379:methods*; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000473:pathology / Q000503:physiopathology; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D041623:Tomography, Optical Coherence / Q000379:methods*; D014792:Visual Acuity; D058609:Visual Field Tests / Q000379:methods*; D014794:Visual Fields / Q000502:physiology*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology