| Serial Follow-up of Commotio Retinae Using Ultra-wide Field Imaging. |
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Anna Lee, Seung Woo Hong, Ho Ra, Eun Chul Kim, Nam Yeo Kang, Jiwon Baek |
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Department of Ophthalmology, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea. md.jiwon@gmail.com |
| 초광각안저촬영을 통한 시간경과에 따른 망막진탕의 변화에 대한 고찰 |
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이안나⋅홍승우⋅나 호⋅김은철⋅강남여⋅백지원 |
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가톨릭대학교 의과대학 부천성모병원 안과학교실 |
Correspondence:
Jiwon Baek,
Email: md.jiwon@gmail.com
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Received: 25 April 2019 • Revised: 26 September 2019 • Accepted: 21 February 2020 |
| 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. |
| Key Words:
Commotio retinae;Ocular trauma;Ultra-wide field color fundus photography |
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