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KMID : 1151620190040010032
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Journal of Retina
2019 Volume.4 No. 1 p.32 ~ p.35
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Multi-modal Imaging Analysis in the Patients with Traumatic Maculopathy
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Kang Hae-Min
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Abstract
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Purpose: To report the multi-modal imaging characteristics from two cases of traumatic maculopathy and their visual outcomes.
Case summary: (Case 1) A 37-year-old male patient visited the ophthalmology clinic after a contusion to the left eyeball. The best-corrected visual acuity (BCVA) in the left eye was 20/100 by the Snellen visual acuity chart. Fundus examination showed yellow-gray-colored retinal edema along the superotemporal vascular arcade and macula in the left eye. Spectral domain optical coherence tomography (SD OCT) revealed subretinal fluid with diffuse ellipsoid zone disruption. On fluorescein angiography (FA), the edematous retinal lesion showed hypofluorescence with stippled hyperfluorescent spots in the early phase followed by diffuse leakage in the late phase. After 1 week, the subretinal fluid completely resolved. After four months, BCVA improved to 20/20, and the ellipsoid zone was nearly recovered. (Case 2) A 47-year-old male patient visited the ophthalmology clinic after a contusion to the left eyeball. The BCVA of the left eye was count finger. Foveal depigmentation was noted on fundus examination. Foveal detachment with diffuse disruption of the ellipsoid zone was noted by SD OCT. On FA, dye pooling in the fovea was shown throughout the examination. After 5 days, the foveal detachment completely resolved, and BCVA was 20/200. After 5 months, BCVA was 20/50, and SD OCT showed partial recovery of the ellipsoid zone.
Conclusions: Multi-modal imaging analysis seems to be useful for differentiating the characteristics of traumatic maculopathy and predicting visual outcomes.
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KEYWORD
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Optical coherence tomography, Trauma
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