J Korean Ophthalmol Soc.  2020 May;61(5):570-574. 10.3341/jkos.2020.61.5.570.

Peripapillary Subretinal Hemorrhage and Vitreous Hemorrhage after Roller Coaster Riding

• Kim M
• Kim K
• Son D
• Kim S

• KMID: 2500733
• DOI: http://doi.org/10.3341/jkos.2020.61.5.570

Abstract

Purpose
To report a case of peripapillary subretinal hemorrhage and vitreous hemorrhage after riding a roller coaster.
Case summary
A 15-year-old female visited our clinic complaining of blurred vision in her left eye after repetitive roller coaster riding. The initial best-corrected visual acuity (BCVA) was 1.0 (right eye) and 0.4 (left eye). The light reflex, relative afferent pupillary defect, and intraocular pressure were within the normal range. On fundus examination, the patient was found to have a peripapillary subretinal hemorrhage, subhyaloid hemorrhage, and vitreous hemorrhage in her left eye. The BCVA of her left eye improved to 1.0 from 0.4 without any treatment after 2 weeks. The peripapillary subretinal hemorrhage and vitreous hemorrhage were completely absorbed after 7 months.
Conclusions
In the case of unexplained retinal hemorrhage in healthy patients without other retinal or systemic diseases, a detailed medical history should be collected to determine the possibility of disorders related to damages from riding a roller coaster.

Keyword

Peripapillary subretinal hemorrhage; Roller coaster retinopathy; Subhyaloid hemorrhage; Vitreous hemorrhage