Case 11-5. Blunt Trauma
A 37-year-old man was examined one month after he sustained blunt trauma to his left orbit due to contact with a brick. The patient described a cloud over his central vision. On examination, his visual acuity in the left eye was 20/200. Slit-lamp biomicroscopy (A) revealed a pigmented scar in the central macula and retinal whitening superior and inferior to the fovea attributed to commotio retinae.
A horizontal OCT image (B) demonstrated complete atrophy of retinal tissue in the fovea. Enhanced reflectivity from the retinal pigment epithelium and choriocapillaris was observed beneath and nasal to the fovea consistent with a pigmented scar.
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