J Korean Ophthalmol Soc.  2019 May;60(5):428-433. 10.3341/jkos.2019.60.5.428.

Utility of Ultra-wide Fundus Photography in Patients with Acute Blunt Ocular Trauma

• Kim DR
• Hong EH
• Shin YU
• Kang MH
• Seong M
• Cho H

• KMID: 2445135
• DOI: http://doi.org/10.3341/jkos.2019.60.5.428

Abstract

PURPOSE
We explored the utility of ultra-wide fundus photography (UFP) to evaluate patients with blunt ocular trauma who visited our emergency room.
METHODS
We retrospectively reviewed the records of 162 patients with blunt ocular trauma who visited the emergency room between June 2015 and December 2016. The patients were divided into two groups: those who underwent UFP and those who did not. We reviewed all medical records and took photographs to illustrate trauma-related retinal problems, and compared the two groups.
RESULTS
Ninety-two eyes underwent UFP and 70 eyes did not. In the latter group, commotio retinae was detected in 17 eyes (24%), Berlin's edema in seven (10%), and retinal hemorrhage in three (4%). In the former group, commotio retinae was detected in 45 eyes (49%), Berlin's edema in 10 (11%), and retinal hemorrhage in 10 (11%). Retinal breaks were evident in only two eyes (2%). The frequency of commotio retinae significantly differed between the two groups.
CONCLUSIONS
UFP usefully detects abnormal retinal lesions in patients with acute blunt periorbital trauma, particularly in those with severe eyelid swelling and those who are in pain.

Keyword

Blunt ocular trauma; Ultra-wide fundus photography

MeSH Terms

Edema
Emergency Service, Hospital
Eyelids
Humans
Medical Records
Photography*
Retina
Retinal Hemorrhage
Retinal Perforations
Retinaldehyde
Retrospective Studies
Retinaldehyde

Figure

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  Figure 1 Retinal findings in eyes with blunt ocular trauma. Commotio retinae in 17 eyes (24%), Beriln's edema in seven eyes (10%), retinal hemorrhage in three eyes (4%) were detected and retinal breaks were not detected in group without wide fundus photography. Commotio retinae in 45 eyes (49%), Beriln's edema in 10 eyes (11%), retinal hemorrhage in 10 eyes (11%) and retinal breaks in two eyes (2%) were detected in group with wide angle fundus photography (*p < 0.05).

• 

  Figure 2 Facial photography (A), traditional fundus photography (B), and ultra-wide fundus photography (C) in a 69-year-old woman with ocular blunt trauma due to slip down. Left eyelid swelling with abrasion were shown and blow-out fracture (medial orbital wall) was found in orbital computed tomography. Ultra-Wide fundus photography show commotio retinae (yellow arrowheads) and retinal hemorrhage (red arrowhead) more prominently than conventional fundus photographs.

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