Case 11-4. Blunt Trauma

Clinical Summary

A 16-year-old male was examined four days after experiencing blunt trauma to his right eye. His visual acuity in this eye was 20/400, Dilated fundus examination (A) revealed a small hemorrhage directly in the fovea.

Optical Coherence Tomography

An OCT tomogram through the fovea (B) displayed an abnormal foveal contour consistent with the loss of A photoreceptors in the foveal pit. A focal region of enhanced backscatter immediately anterior to the retinal pigment epithelium was noted, compatible with the clinical observation of a small subretinal hemorrhage.

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