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Serial Follow-up of Commotio Retinae Using Ultra-wide Field Imaging
초광각안저촬영을 통한 시간경과에 따른 망막진탕의 변화에 대한 고찰
JKOS 2020 Mar;61(3):243-9
Published online March 15, 2020;  https://doi.org/10.3341/jkos.2020.61.3.243
Copyright © 2020 The Korean Ophthalmological Society.
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Anna Lee, MD, Seung Woo Hong, MD, PhD, Ho Ra, MD, PhD, Eun Chul Kim, MD, PhD, Nam Yeo Kang, MD, PhD, Jiwon Baek, MD, PhD
이안나⋅홍승우⋅나 호⋅김은철⋅강남여⋅백지원

Department of Ophthalmology, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea
가톨릭대학교 의과대학 부천성모병원 안과학교실
Received April 25, 2019; Revised September 26, 2019; Accepted February 21, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: To quantify the size of commotio retinae and investigate its spontaneous resolution over time using ultra-wide field (UWF) color fundus photography.
Methods: We analyzed serial UWF color fundus photographs of 33 eyes of 33 ocular trauma patients with commotio retinae. Total visible retinal areas and the areas of commotio retinae were measured at baseline, 3 days, 1 week, and 4 weeks from the initial traumatic event.
Results: The median time of observation was 10.8 ± 12.1 (4-44) weeks. Spontaneous resolution of commotio retinae was observed in all patients, and no patients experienced any complications during the follow-up period. The mean percentage of commotio retinae at 3 days significantly decreased compared to the baseline (8.51 ± 9.66% versus 12.23 ± 10.39%; p < 0.001), and more decreased at 1 week (1.04 ± 2.75%; p < 0.001), but no significant differences were observed between 1 week and 4 weeks (0.00 ± 0.00%; p = 0.219). The spontaneous resolution percentages during the first 3 days, between 3 days and 1 week, and during the next 4 weeks were 12.97 ± 13.44%/day, 19.62 ± 9.22%/day, and 0.87 ± 1.87%/day, respectively (p = 0.192 and p < 0.001, respectively). The resolution rate was higher during the first 1 week.
Conclusions: We quantified the size of commotio retinae using UWF color fundus photography. Most patients with commotio retinae resolved spontaneously during the first 1 week following trauma, and all cases completely resolved at 1 month without any complications.
Keywords : Commotio retinae, Ocular trauma, Ultra-wide field color fundus photography

 

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