COMMOTIO RETINAE WITH VITREOUS HEMORRHAGE

This is the superior retina of a young man who got hit in the eye with a soccer ball.  The young man see’s 20/20 still, since the macula is uninvolved.  We will look for eventual resolution over weeks to months, while monitoring closely for retinal tears, holes, or detachments. 

 The white area is commotio retinae, in a sense it’s a bruised retina.  You can see retinal hemorrhages and the darker spots are actually vitreous hemorrhages.  There does not appear to be a retinal tear, either with the Optomap image or with a dilated eye exam. 

The second picture is 9 days after the first photo.  The dark areas are actually blood in the vitreous, which was present at the first visit, but the commotio retinae is mostly resolved.

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