Enlarged Foveal Avascular Zone after Whiplash Injury-Acquired Berlin’s Edema

Drača, Nataša; Cerovski, Branimir; Lazić, Ratimir; Kovačević, Damir; Gabrić, Krešimir; Gabrić, Ivan

doi:10.1159/000509264

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Fragmentation of the inner segment/outer segment layer [ 11 ], disruption of retinal pigment epithelium interdigitation associated with intraretinal edema of the outer nuclear layer [ 12 ], neurosensory retinal detachment (NSD) [ 2 , 10 ], and increased reflectivity of the line at the junction between the photoreceptor inner and outer segments in the healing phase have also been reported in Berlin’s edema [ 13 ]. Recently, OCTA has exhibited foveal avascular zone enlargement in both the superficial and deep capillary layers [ 14 ].…”

Section: Case Discussionmentioning

confidence: 99%

Berlin’s Edema with Atypical Optical Coherence Tomography Findings: A Case Report

Nikkhah,

Karrabi,

Yazdanjou

2023

Case Rep Ophthalmol

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Berlin’s edema is an acute traumatic maculopathy following ocular blunt trauma, with the major site of injury is photoreceptor outer segments and retinal pigment epithelium (RPE). Optical coherence tomography (OCT) is a useful tool to diagnose and follow microstructural changes in Berlin’s edema. In this report, we present an atypical case of Berlin’s edema that resembled Vogt-Koyanagi-Harada disease. OCT demonstrated multiple neurosensory detachments and giant cystic changes of the outer retina. Fluorescein angiography showed no dye leakage or vascular alterations. The patient was treated with a short period of topical and systemic corticosteroids, and she improved significantly within a few weeks.

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Section: Case Discussionmentioning

confidence: 99%

Berlin’s Edema with Atypical Optical Coherence Tomography Findings: A Case Report

Nikkhah,

Karrabi,

Yazdanjou

2023

Case Rep Ophthalmol

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Retinal microvasculature changes in optical coherence tomography – angiography after severe blunt ocular trauma

Rocher

Chirpaz

Esminezhad

et al. 2022

Preprint

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Background: The pathophysiological origin of the retinal damage present in ocular contusion is not clearly established. It is not known whether it is initially neurodegeneration or vascular ischaemia that leads to retinal atrophy. Methods: The aim of this study was to evaluate the retinal microvasculature with optical coherence tomography (OCT) - angiography of the eyes affected by severe ocular contusion as compared to the contralateral non-traumatised eyes. The retinal vessel density of superficial (SVP) and deep vascular plexus (DVP), area of choriocapillaris flow voids and foveal avascular zone area were evaluated. The macular thickness in OCT in the acute and late stages of the trauma was also analysed. Results: A total of 48 patients were included and at both 72 hours and 55 days after severe ocular contusion, there were no significant differences between traumatised and non-traumatised eyes for the vascular density of the SVP, the DVP, the choriocapillaris and area of the foveal avascular zone. But we observed significant increase in macular thickness in traumatised eyes compared to non-traumatised eyes at the initial emergency visit and a decrease in traumatised eyes at follow-up examination. Conclusions: These results suggest that the micro-vascularisation of the retina and the choriocapillaris are not initially affected in severe ocular contusions. The damage to the retina after trauma is therefore probably neurodegenerative rather than vascular.

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Enlarged Foveal Avascular Zone after Whiplash Injury-Acquired Berlin’s Edema

Cited by 2 publications

References 14 publications

Berlin’s Edema with Atypical Optical Coherence Tomography Findings: A Case Report

Berlin’s Edema with Atypical Optical Coherence Tomography Findings: A Case Report

Retinal microvasculature changes in optical coherence tomography – angiography after severe blunt ocular trauma

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