Unusual bilateral traumatic maculopathy following whiplash injury

Chronopoulos, Argyrios; Lipski, Andreas; Jonescu-Cuypers, Christian-Paul; Thumann, Gabriele

doi:10.1136/bcr-2014-208068

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…Structural findings on OCT in cases of whiplash maculopathy show increased reflectivity and thickening of the ellipsoid zone, as can be seen in commotio retinae, but with associated bacillary layer detachment and significant outer retinal edema and septa. Although this “unusual macular edema” has not been previously labeled as a bacillary layer detachment in cases of whiplash maculopathy, 2,3 a review of OCT images provided in these reports confirms the finding. The posterior vitreous remained attached in both eyes and may contribute to the transmission of forces during rapid deceleration.…”

Section: Discussionsupporting

confidence: 53%

Severe Macular Edema After Traumatic Head Injury: A Case of Whiplash Maculopathy

Ballios¹

2024

RETINAL Cases &Amp; Brief Reports

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Purpose: Whiplash or "traumatic" maculopathy is associated with retinal concussion, typically after the rapid acceleration/deceleration experienced in motor vehicle collisions. It has rarely been discussed in the literature, likely given the spontaneous and relatively rapid nature with which the acute macular edema resolves. A focused clinical history around the trauma and characteristic signs and structural features on retinal imaging help to distinguish this condition from other sequelae of concussive retinal injury. We report a case of whiplash maculopathy after a blunt injury to the head, which presented with unilateral and substantial macular edema in the left eye.Methods: Case report.Results: A 38-year-old man presented with complaint of a central scotoma in his left eye after a blunt trauma to his head. Comprehensive ophthalmological evaluation and retinal imaging with optical coherence tomography confirmed whiplash maculopathy, with acute macular edema in his left eye. Management with observation and close follow-up showed rapid improvement in his visual symptoms over the course of days and improvement in the severity of macular edema. One month after his injury, macular edema had resolved with only mild structural irregularities, the patient's vision had improved, and he was asymptomatic.Conclusion: When observing patients with significant macular edema after concussive head injury, whiplash maculopathy should be considered, regardless of a history of motor vehicle collision. The condition can present with significant asymmetry of disease. The diagnosis generally carries a good prognosis for vision; however, there are cases of persistent central visual disturbances.

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Section: Discussionsupporting

confidence: 53%

Severe Macular Edema After Traumatic Head Injury: A Case of Whiplash Maculopathy

Ballios¹

2024

RETINAL Cases &Amp; Brief Reports

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“…In addition, the enhanceddepth imaging OCT revealed normal choroidal thickness. We also considered whiplash maculopathy, a rarely described and usually bilateral phenomenon that causes a localized retinal concussion and results in decreased VA. [9][10][11][12][13] Although SRF has been rarely described in whiplash maculopathy, previous cases also demonstrated retinal pigmentation changes or other intraretinal OCT changes that were absent in our present case. [11][12][13] To the best of our knowledge, our isolated choroidal findings leading to extensive SRF have not been reported previously.…”

Section: Discussionsupporting

confidence: 46%

A Case of Traumatic Choroidopathy With Subretinal Fluid

Mishra

Iftikhar

Channa

2020

Journal of VitreoRetinal Diseases

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Purpose: We report a unique case of blunt ocular trauma with subretinal fluid (SRF), presumed to be traumatic choroidopathy as evidenced by multimodal imaging. Methods: A case report is presented. Results: A 22-year-old woman involved in a motor vehicle accident presented 1 day later to our emergency department with blurred vision in the left eye. Visual acuity was 20/40, significant SRF was present throughout the macula, and fluorescein angiography showed diffuse pooling and leakage. There were no retinal tears or intraocular inflammation. Indocyanine green angiography performed a week later showed patchy hypofluorescence in the affected area. One month later, visual acuity had improved to 20/20 and the SRF and the hypofluorescence on indocyanine green angiography had resolved. Conclusions: Subfoveal collection of SRF may be a cause of decreased vision following blunt ocular trauma. We hypothesize that in our case choroidal hypoperfusion and retinal pigment epithelial dysfunction contributed to the SRF collection.

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“…They may also develop other features of trauma such as retinal hemorrhages, commotio retinae, or a macular hole [ 11 ]. VA and OCT findings commonly fully resolve in whiplash maculopathy within a few weeks [ 12 ]. In one case report of whiplash retinopathy, the OCT did have some features similar to our case in the acute phase, with significant submacular fluid and separation of the IZ subfoveally; however, on resolution there was only a mild persistence of IZ irregularity and VA returned to near normal in 2 weeks [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Unilateral Maculopathy

Shipton

Gilmour

2022

Case Rep Ophthalmol

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A 44-year-old male presented with unilateral sudden onset reduced visual acuity. The optical coherence tomography (OCT) scan demonstrated submacular fluid with thickening and hyper-reflectivity of the outer retinal layers, together with subfoveal retinal pigment epithelial hyper-reflectivity corresponding to a small area of foveal interdigitation zone/ellipsoid zone (IZ/EZ) loss in the detached retina. An OCT 4 months later showed resolution of the submacular fluid, but the IZ/EZ loss persisted with thinning of the outer nuclear layer, resulting in a poor visual outcome. The clinical findings most likely represent a case of unilateral acute idiopathic maculopathy; however, the OCT features and poor visual outcome are not typical. Differential diagnoses include acute solar maculopathy, central serous chorioretinopathy, poppers maculopathy, whiplash maculopathy, and acute retinal pigment epitheliitis.

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Unusual bilateral traumatic maculopathy following whiplash injury

Cited by 9 publications

References 6 publications

Severe Macular Edema After Traumatic Head Injury: A Case of Whiplash Maculopathy

Severe Macular Edema After Traumatic Head Injury: A Case of Whiplash Maculopathy

A Case of Traumatic Choroidopathy With Subretinal Fluid

An Unusual Case of Unilateral Maculopathy

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