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KMID : 0857020100250020150
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Kosin Medical Journal
2010 Volume.25 No. 2 p.150 ~ p.153
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A Case of Visual Loss in Macular Atrophy after Commotio Retinae
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Kim Soo-Young
Yoo Jae-Ho
Lee Sang-Joon
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Abstract
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We report a case of visual loss due to macular atrophy after Berlin's edema.. A 58-year-old male visited our clinic after ocular trauma by rope. On presentation, uncorrected visual acuity was 0.63 / finger count 20 cm, and intraocular pressure was 19 / 15 mmHg by tonopen (right / left eye). Fundus examination of right eye showed widespread commotio retinae involving macula and fundus of left eye was invisible due to gross hyphema. Gonioscopic findings of left eye showed angle recession of 360 degrees. After regression of hyphema, fundus of left eye also showed widespread commotio retinae involving macula. The patient complained about central visual field loss, and visual field test showed central visual field defect. Visual evoked potential and multifocal electroretinogram showed decreased retinal function in left eye, and optical coherence tomography (OCT) showed significant decreased macular thickness. 1 month after trauma, uncorrected visual acuity was increased to 0.1, but after then the patient showed permanent visual loss with macular atrophy.
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KEYWORD
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Berlin’s edema, Macula atrophy, Oculartrauma, Visual acuit
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