TNOA Journal of Ophthalmic Science and Research

OPHTHALMIC IMAGE
Year
: 2020  |  Volume : 58  |  Issue : 4  |  Page : 318--319

A rare presentation of bilateral subclinical macular commotio retinae


Shruthy Vaishali Ramesh1, Prasanna Venkatesh Ramesh2, Ramesh Rajasekaran3, Meena Kumari Ramesh1,  
1 Department of Cataract and Refractive Surgery, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
2 Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
3 Department of Paediatric Ophthalmology and Strabismus, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India

Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Trichy - 641 009, Tamil Nadu
India




How to cite this article:
Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK. A rare presentation of bilateral subclinical macular commotio retinae.TNOA J Ophthalmic Sci Res 2020;58:318-319


How to cite this URL:
Ramesh SV, Ramesh PV, Rajasekaran R, Ramesh MK. A rare presentation of bilateral subclinical macular commotio retinae. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2022 Oct 7 ];58:318-319
Available from: https://www.tnoajosr.com/text.asp?2020/58/4/318/303677


Full Text



A 25-year-old patient presented with defective vision, post blunt force trauma to both eyes with fist during an assault. His best-corrected visual acuity in both eyes was 20/30. Fundus examination revealed absence of foveal reflex [Figure 1] and [Figure 2]d, infrared (IR) image showed hyporeflective mottling of the macula [Figure 1] and [Figure 2]b, autofluorescence was normal [Figure 1] and [Figure 2]c, and optical coherence tomography (OCT) revealed abnormal hyper-reflectivity and nodularity of the photoreceptor Outer segment (OS) layer [Figure 1] and [Figure 2]a, diagnosing a rare bilateral subclinical commotio retinae [Figure 1] and [Figure 2]c. The subtlety of OCT can be overlooked, hence IR offers diagnostic accessory for detecting subclinical commotio retinae.[1],[2],[3]{Figure 1}{Figure 2}

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the legal guardian has given his consent for images and other clinical information to be reported in the journal. The guardian understands that names and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Andrew N, Slattery J, Gilhotra J. Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae. Indian J Ophthalmol 2014;62:879.
2Souza-Santos F, Lavinsky D, Moraes NS, Castro AR, Cardillo JA, Farah ME. Spectral-domain optical coherence tomography in patients with commotio retinae. Retina 2012;32:711-8.
3Park JY, Nam WH, Kim SH, Jang SY, Ohn YH, Park TK. Evaluation of the central macula in commotio retinae not associated with other types of traumatic retinopathy. Korean J Ophthalmol 2011;25:262-7.