Abstract | PURPOSE: METHODS: Visual acuity, fundus photography with fluorescein angiography, and spectral-domain optical coherence tomography were performed to document the findings in a 16-year-old man who presented after a finger poke injury to the left orbit during a water polo match. RESULTS: On initial presentation, examination revealed decreased visual acuity with a fixed left pupil and afferent pupillary defect by reverse. On slit-lamp examination of the left eye, a hyphema was present. Dilated fundus examination revealed layering vitreous hemorrhage over the posterior pole and an avulsed vitreous base. On follow-up, a gap temporal to the optic nerve head consistent with a partial optic nerve avulsion was noted once the vitreous hemorrhage cleared. Multimodal imaging revealed retinal ischemia temporal to the disc on fluorescein angiography with corresponding changes in the inner retinal layers and retinal nerve fiber layer using spectral-domain optical coherence tomography. CONCLUSION:
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Authors | Alexandra Van Brummen, Debarshi Mustafi, Yewlin E Chee |
Journal | Retinal cases & brief reports
(Retin Cases Brief Rep)
Vol. 17
Issue 1
Pg. 70-73
(Jan 01 2023)
ISSN: 1937-1578 [Electronic] United States |
PMID | 33394954
(Publication Type: Case Reports, Journal Article)
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Topics |
- Male
- Humans
- Adolescent
- Optic Nerve Injuries
(diagnosis, etiology)
- Vitreous Hemorrhage
(complications)
- Fluorescein Angiography
- Retinal Diseases
(complications)
- Tomography, Optical Coherence
- Optic Disk
- Wounds, Nonpenetrating
(complications, diagnosis)
- Pupil Disorders
(complications)
- Multimodal Imaging
- Ischemia
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