망막진탕과 합병된 삼출망막박리로 인한 지연된 시력저하 1예

• 영문명: A Case of Retinal Contusion Combined Exudative Retinal Detachment Causing Delayed Visual Disturbance
• 발행기관: 대한안과학회
• 저자명: 이자균 박성후 이지은 엄부섭,Ja Kyun Lee, M.D., Sung Who Park, M.D., Ji Eun Lee, M.D., Ph.D., Boo Sub Oum, M.D., Ph.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number9, 1539~1542쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.09.15

영문 초록

Purpose: To report a case of retinal contusion with the complication of exudative retinal detachment causing delayed visual disturbance. Case summary: A 28-year-old man presented with visual disturbance of the left eye. Three days prior, a soccer ball hit him on his left eye, and he visited a local clinic. His visual acuity was 0.9. Fundus examination revealed a lesion of the macula, which was diagnosedas retinal contusion. Two days later, visual acuity decreased to 0.3 and he was referred to us. At presentation, his visual acuity was 0.125. A gray to white lesion around the superotemporal vascular arcade, and exudative retinal detachment involving the fovea associated with the lesion were found. Subretinal fluid collection was confirmed with optical coherence tomography (OCT). Fluorescein angiography showed diffuse leakage over the contusion, and fluorescein was pooled in the detached area. At 15 days, subretinal fluid was resolved on OCT and vision was improved to 0.8. Conclusions: We suggest that leakage from the contusion caused delayed exudative retinal detachment and decrease of visual acuity. Visual acuity improved with resolution of the subretinal fluid. Though the visual acuity was good in spite of a severe retinal contusion on the perifoveal area, the possibility of exudative retinal detachment and delayed visual disturbance shoud be considered. J Korean Ophthalmol Soc 2008;49(9):1539-1542

키워드

Exudative retinal detachment, Retinal contusion