Functional and Morphological Evaluation of Traumatized Eyes With Berlin's Edema Affecting the Macula Using mfERG, Microperimetry, and SD-OCT

Boss, Joseph; Tosi, Joaquin; Glybina, Inna V.; Tewari, Asheesh; Abrams, Gary W.

doi:10.3928/23258160-20170130-04

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Other findings include outer retinal thickening, a low signal triangular area below the foveal pit, and increased central retinal thickness [ 10 ]. 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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“…[1][2][3] In addition, macular photoreceptor function has been shown to be impaired in eyes with Berlin edema when tested with multifocal electroretinography. 4 Advances in noninvasive retinal imaging modalities such as SD-OCT with EDI have improved evaluation of morphologic changes in the submacular choroid in many retinal disease processes such as amblyopia, central serous retinopathy, and Vogt-Koyanagi-Harada disease. [4][5][6][7] However, choroidal changes during acute Berlin edema have not previously been analyzed by SD-OCT using EDI.…”

Section: Discussionmentioning

confidence: 99%

Macular Choroidal Thickness in Unilateral Commotio Retinae

Burke

Lieu

Abrams

et al. 2021

RETINAL Cases &Amp; Brief Reports

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Purpose: To investigate the choroidal thickness (CT) and choroidal area (CA) in patients with unilateral commotio retinae of the macula using spectral domain optical coherence tomography with enhanced-depth imaging.Methods: This is a retrospective review of 16 eyes of 8 consecutive patients with unilateral macular commotio retinae within 7 days of blunt ocular trauma that underwent optical coherence tomography with enhanced-depth imaging seen at our institution. The contralateral, nontraumatized eye served as the control group. All patients underwent spectral domain optical coherence tomography imaging with enhanced-depth imaging protocol. Using the electronic caliper within the Zeiss optical coherence tomography review software, CT was measured from the outer portion of the retinal pigment epithelium band to the inner surface of the sclera. The central horizontal and vertical rasters were averaged to calculate the final CT measurement of each eye. The final CA reading of each eye was obtained by averaging the central 1,500 mm 2 of subfoveal CA using the same rasters. The researchers compared the CT, CA, and best-corrected visual acuity in traumatized eyes with macular commotio with their fellow nontraumatized control eyes.Results: Traumatized eyes with macular commotio retinae had greater subfoveal CT and CA (P = 0.0027, P = 0.0279) compared with the normal fellow eye. An increase in CT and CA in the subfoveal area in the presence of commotio retinae was associated with worse visual acuity (P = 0.0180).Conclusion: Subfoveal CT and CA were greater in eyes with commotio retinae when compared with normal fellow eyes. Increased CT and CA in macular commotio retinae were associated with decreased visual acuity.

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Selective rod outer segment disruption in commotio retinae — a finding identified on Multicolour® Imaging

Venkatesh

Sharief

Mangla

et al. 2022

Graefes Arch Clin Exp Ophthalmol

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Functional and Morphological Evaluation of Traumatized Eyes With Berlin's Edema Affecting the Macula Using mfERG, Microperimetry, and SD-OCT

Abstract: 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.].

Cited by 5 publications

References 8 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

Macular Choroidal Thickness in Unilateral Commotio Retinae

Selective rod outer segment disruption in commotio retinae — a finding identified on Multicolour® Imaging

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