Abstract

SILVA CAYATOPA, Fermín. Berlin Edema secondary to closed eye trauma. Vive Rev. Salud [online]. 2020, vol.3, n.9, pp.247-252. ISSN 2664-3243.

Abstract Introduction: Ocular trauma is one of the causes that differ between urban areas from one country to another and between different demographic or socioeconomic classes. Objective: To demonstrate the evolution and clinical characteristics of Berlin edema secondary to closed ocular trauma. Materials and methods: An observational case study was conducted in an 11-year-old male patient who presented a 20/20 BCVA in RE and 50 cm finger count in LE after blunt ocular trauma with blunt object. From the beginning, she developed a retinal concussion associated with Berlin edema in LE. With follow-up from December 11, 2019 to January 27, 2020. Variables were included: best-corrected visual acuity, retinographies, and macular spectral domain optical coherence tomography. Results: Methylprednisolone 500 mg intravenous daily for 3 days was indicated; prednisone 30 mg oral gradually decreasing over 10 days; 1% prednisolone acetate topical every 2 hours, moxifloxacin 0.5% every 6 hours, cyclopentolate 1% every 8 hours. 7 weeks later, there was no clinical improvement despite medication, and he was kept under medical observation with BCVA RE 20/20 and LE with a 2-meter finger count. Discussion: Berlin edema (commotio retinae), a common condition caused by a blunt injury to the eye, is usually self-limiting and there is no treatment as such. Conclusion: Blunt ocular trauma with retinal involvement can cause macular damage such as Berlin edema, as in this case, which can condition the visual prognosis even though it is mostly favorable.

Keywords : Blunt ocular trauma; Berlin edema; commotio retinae; visual acuity; optical coherence tomography.

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