J Korean Ophthalmol Soc.  2008 Jun;49(6):1018-1021. 10.3341/jkos.2008.49.6.1018.

Spontaneous Resolution of Post-Traumatic Bilateral Serous Retinal Detachment in Childrens

• Kim SJ
• Kim JY
• Park SP

• KMID: 2110886
• DOI: http://doi.org/10.3341/jkos.2008.49.6.1018

Abstract

PURPOSE: We report a case of post.traumatic bilateral serous retinal detachment that resolved spontaneously within a month.
CASE SUMMARY
An 8-year-old male patient presented with post-traumatic bilateral serous retinal detachment and decreased visual acuity. We did not perform any specific treatment. Best corrected visual acuity (BCVA), fluorescein angiography (FA), optical coherence tomography (OCT), and slit lamp examination were used.
CONCLUSIONS
After 1 month, the patient's BCVA improved to 1.0 in both eyes, and serous retinal detachment resolved; FA findings and OCT findings were nearly normal.

Keyword

Post-traumatic bilateral serous detachment

MeSH Terms

Child
Eye
Fluorescein Angiography
Humans
Male
Retinal Detachment
Retinaldehyde
Tomography, Optical Coherence
Visual Acuity
Retinaldehyde

Figure

• 

  Figure 1. In both eyes, elevated serous lesion at superotemporal area (black arrow lined) was observed. Macular involvement is seen on optical coherence tomography (OCT).

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  Figure 2. Fluorescein angiographs (FA). (A, B) In the early phase, superotemporal hypofluorescence lesion is seen inside the vascular arcade in both eyes (black arrow head) and hyperfluorescence lesion (black arrow). (C, D) In the late phase, the fluorescence pooling involving macula is seen in both eyes. There are still hypofluorescence lesion (black arrow head). Hyperfluorescence lesion shows slight leakage (black arrow) in the late phase.

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  Figure 3. At one month after initial trauma, the elevated serous lesion is no longer seen in both eyes. Also, there is no serous retinal detachment of the macula in both eyes.

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  Figure 4. Fluorescein Angiographs (FA) after 1 month. (A, B) Early phase. There still exist hypofluorescence lesions on superotemporal area (black arrow head). (C, D) Late phase. Fluorescein pooling is seen in the late phase. Also, No hyperfluorescence spot is detected.

Reference

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