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Rare complication of a blunt ocular trauma

Poster Details

First Author: M.Polyzos UK

Co Author(s):    P. Sahare   M. Entabi           

Abstract Details

Purpose:

To demonstrate the value of a posterior segment examination in an ocular surface blunt trauma.

Setting:

Eye casualty in a district general hospital in England, UK

Methods:

A 57 years old male presented to Eye Casualty with a blunt trauma to his right eye by a nail through an air-gun. His past medical history included type 2 diabetes, hypertension and hypercholesterolemia. He underwent a full eye examination, which included visual acuity (VA), IOP measurement, anterior segment examination and dilated fundoscopy. He also had an ocular coherence tomography scan (OCT), ultrasound scan (B-Scan) and fluorescein angiography (FFA).

Results:

At presentation, VA was 6/19 and IOP 12mmHg. A 3.2x1.8mm conjunctival laceration nasally, negative Seidel and inflammatory reaction from the anterior chamber were found. Fundoscopy revealed a commotio on the macula extending to optic disc. B–scan showed no intraocular foreign body. OCT revealed foveal subretinal fluid with pigment epithelium detachment (PED). FFA showed suprafoveal leak with “smoke stack” sign. Central Serous Retinopathy was diagnosed. Conservative treatment was commenced to treat conjunctival laceration and anterior uveitis. One week later, vision was 6/48 and OCT showed more subretinal fluid, although PED disappeared. Four weeks later VA was 6/7.5. OCT was normal.

Conclusions:

A combination of Central Serous Retinopathy and PED is a rare complication following a blunt ocular trauma with very few reported cases. This case report emphasizes the importance of full ophthalmic examination for an ocular surface trauma. FINANCIAL DISCLOUSRE: NONE

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