First Author: R.Abreu SPAIN
Co Author(s): M. Alonso P. Abreu 0 0 0 0 0 0 0 0 0
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To show the usefulness of en- face OCT in the follow-up and clinical course of a paintball ball contuse trauma conmotio retinae
University Hospital of La Candelaria , Tenerife, Canary Islands, Spain.
Case report of a 16 year old male patient attended our service due to have received paintball hit in the left eye (LE).
The LE best corrected visual acuity (BCVA) was 20/80 and the biomicroscopy of the anterior segment highlights a traumatic medium mydriasis with occasional breaks in the iris sphincter. In the posterior segment biomicroscopy a mild vitreous bleeding was observed in the lower quadrants with a slight discolouring of the inferior nasal edge of the fovea. The sagittal image obtained by spectral domain optical coherence tomography (SD- OCT) shows a retina disruption at the level of the outer nuclear layer, outer and inner photoreceptor layer and at the retinal pigment epithelial layer in the lower nasal macular quadrant. In the en-face OCT image a focal retinal thickness decrease was observed. One year later, LE BCVA was 20/20 the en-face oct image showed a lesion decrease in size and a outer nuclear layer thickness increase since baseline visit.
En-face tomographic image provides us with information on the extent of macular damage useful for assessing the clinical course and prognosis for functional recovery in conmotio retinae.