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KMID : 0360220190600050428
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Journal of the Korean Ophthalmological Society
2019 Volume.60 No. 5 p.428 ~ p.433
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Utility of Ultra-wide Fundus Photography in Patients with Acute Blunt Ocular Trauma
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Kim Du-Roo
Hong Eun-Hee
Shin Yong-Un
Kang Min-Ho
Seong Min-Cheol
Cho Hee-Yoon
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Abstract
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Purpose: We explored the utility of ultra-wide fundus photography (UFP) to evaluate patients with blunt ocular trauma who visited our emergency room.
Methods: We retrospectively reviewed the records of 162 patients with blunt ocular trauma who visited the emergency room between June 2015 and December 2016. The patients were divided into two groups: those who underwent UFP and those who did not. We reviewed all medical records and took photographs to illustrate trauma-related retinal problems, and compared the two groups.
Results: Ninety-two eyes underwent UFP and 70 eyes did not. In the latter group, commotio retinae was detected in 17 eyes (24%), Berlin’s edema in seven (10%), and retinal hemorrhage in three (4%). In the former group, commotio retinae was detected in 45 eyes (49%), Berlin’s edema in 10 (11%), and retinal hemorrhage in 10 (11%). Retinal breaks were evident in only two eyes (2%). The frequency of commotio retinae significantly differed between the two groups.
Conclusions: UFP usefully detects abnormal retinal lesions in patients with acute blunt periorbital trauma, particularly in those with severe eyelid swelling and those who are in pain.
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KEYWORD
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Blunt ocular trauma, Ultra-wide fundus photography
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