Post-Traumatic Berlin Edema In A Child: About A Case
Published 2022 - 40th Congress of the ESCRS
Reference: PO440 | Type: ESCRS 2022 - Posters | DOI: 10.82333/0vnp-fn44
Authors: Zeinebou H’Meimett* 1 , Manal Tabchi 1 , Synthia Mekyna 1 , Abdelkader El Akkoumi 1 , Lalla ouafa Cherkaoui 1
1Ophtalmologie,Hôpital des spécialités,Rabat,Morocco
Purpose
is to evaluate the contribution of close controls in the diagnosis and follow-up of Berlin edema
Setting
Eye injuries are a public health problem, especially in children. They represent 5% of blindness cases in the world.
Methods
This is an 11-year-old child with no pathological history. He was admitted to the emergency room for an immediate profound loss of post-traumatic visual acuity with a painful red eye. The mechanism was bruised by a balloon. Retinography and OCT (optical coherence tomography) were requested.
Results
Ophthalmological examination revealed visual acuity on counting fingers in the right eye. The eye is normotone with a pressure of 10 mmHg. With a grade 1 hyphema in the anterior segment. On the fundus, there is a subretinal hemorrhage located at the macular level with diffuse Berlin edema at the posterior pole. The Adelphe eye was normal. After two weeks necrosis sets in.
Berlin edema is observed on the fundus by a whitening of the macula. Clinical monitoring allows the detection of any prior complication. The evolution of traumatic maculopathies is very variable. Complications are common. A decrease in visual acuity can be observed by choroidal neovascularization within 3 years in 15 to 30% of cases.
Conclusions
Ocular trauma is serious in terms of its functional impact and its socio-professional involvement. OCT is a non-invasive imaging method that allows a new diagnostic approach to Berlin edema as well as an objective follow-up.