Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae
Commotio retinae (CR) is an outer retinal disorder following blunt trauma to the eye. Histologically it is characterized by disruption of the photoreceptor outer segments (OS), typically without injury to other retinal layers. Using spectral-domain optical coherence tomography (OCT) the condition is...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=8;spage=879;epage=880;aulast=Andrew |
| _version_ | 1824026472601354240 |
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| author | Nicholas H Andrew James A Slattery Jagjit S Gilhotra |
| author_facet | Nicholas H Andrew James A Slattery Jagjit S Gilhotra |
| author_sort | Nicholas H Andrew |
| collection | DOAJ |
| description | Commotio retinae (CR) is an outer retinal disorder following blunt trauma to the eye. Histologically it is characterized by disruption of the photoreceptor outer segments (OS), typically without injury to other retinal layers. Using spectral-domain optical coherence tomography (OCT) the condition is visible as hyper-reflectivity of the OS. Most cases of CR are associated with transient grey-white discoloration of the retina and are easily diagnosed clinically, but there have been reports of OCT-confirmed CR without retinal discoloration. It is likely that this subclinical variant of CR is under-recognized as the OCT features of CR are subtle. Here, we report a case of OCT-confirmed subclinical CR that demonstrated prominent infrared hypo-reflectance, using the infrared protocol of the SPECTRALIS® OCT, Heidelberg Engineering. This case suggests that infrared reflectance may have a role in diagnosing cases of subclinical CR. |
| first_indexed | 2024-12-19T11:15:14Z |
| format | Article |
| id | doaj.art-cefbf57a71b3416ea13a1f97aca526d1 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-19T11:15:14Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-cefbf57a71b3416ea13a1f97aca526d12022-12-21T20:24:05ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162887988010.4103/0301-4738.141056Infrared reflectance as a diagnostic adjunct for subclinical commotio retinaeNicholas H AndrewJames A SlatteryJagjit S GilhotraCommotio retinae (CR) is an outer retinal disorder following blunt trauma to the eye. Histologically it is characterized by disruption of the photoreceptor outer segments (OS), typically without injury to other retinal layers. Using spectral-domain optical coherence tomography (OCT) the condition is visible as hyper-reflectivity of the OS. Most cases of CR are associated with transient grey-white discoloration of the retina and are easily diagnosed clinically, but there have been reports of OCT-confirmed CR without retinal discoloration. It is likely that this subclinical variant of CR is under-recognized as the OCT features of CR are subtle. Here, we report a case of OCT-confirmed subclinical CR that demonstrated prominent infrared hypo-reflectance, using the infrared protocol of the SPECTRALIS® OCT, Heidelberg Engineering. This case suggests that infrared reflectance may have a role in diagnosing cases of subclinical CR.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=8;spage=879;epage=880;aulast=AndrewAcromegalycentral corneal thicknessintraocular pressureoptic disc topographyretinal nerve fiber layer thicknessBest-corrected visual acuityinner segment/outer segment junctionouter retinal corrugationrhegmatogenous retinal detachment Diabetic retinopathyIndian eyesnonmydriatic imagingscreening Capsulardehiscencefoldable intraocular lensinjector implantationscleral fixation Dexamethasonephacoemulsificationtriamcinolone acetonide Axial length elongationbody stature growthlifestylemyopia Cataractfloppy iris syndromephacoemulsificationtamsulosinAb externo surgical techniquecapsular tension ring displacementintact capsular bagintraocular lens luxationDiagnostic techniquesmacularretinal imagingtraumatic injuries |
| spellingShingle | Nicholas H Andrew James A Slattery Jagjit S Gilhotra Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae Indian Journal of Ophthalmology Acromegaly central corneal thickness intraocular pressure optic disc topography retinal nerve fiber layer thickness Best-corrected visual acuity inner segment/outer segment junction outer retinal corrugation rhegmatogenous retinal detachment Diabetic retinopathy Indian eyes nonmydriatic imaging screening Capsular dehiscence foldable intraocular lens injector implantation scleral fixation Dexamethasone phacoemulsification triamcinolone acetonide Axial length elongation body stature growth lifestyle myopia Cataract floppy iris syndrome phacoemulsification tamsulosin Ab externo surgical technique capsular tension ring displacement intact capsular bag intraocular lens luxation Diagnostic techniques macular retinal imaging traumatic injuries |
| title | Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae |
| title_full | Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae |
| title_fullStr | Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae |
| title_full_unstemmed | Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae |
| title_short | Infrared reflectance as a diagnostic adjunct for subclinical commotio retinae |
| title_sort | infrared reflectance as a diagnostic adjunct for subclinical commotio retinae |
| topic | Acromegaly central corneal thickness intraocular pressure optic disc topography retinal nerve fiber layer thickness Best-corrected visual acuity inner segment/outer segment junction outer retinal corrugation rhegmatogenous retinal detachment Diabetic retinopathy Indian eyes nonmydriatic imaging screening Capsular dehiscence foldable intraocular lens injector implantation scleral fixation Dexamethasone phacoemulsification triamcinolone acetonide Axial length elongation body stature growth lifestyle myopia Cataract floppy iris syndrome phacoemulsification tamsulosin Ab externo surgical technique capsular tension ring displacement intact capsular bag intraocular lens luxation Diagnostic techniques macular retinal imaging traumatic injuries |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=8;spage=879;epage=880;aulast=Andrew |
| work_keys_str_mv | AT nicholashandrew infraredreflectanceasadiagnosticadjunctforsubclinicalcommotioretinae AT jamesaslattery infraredreflectanceasadiagnosticadjunctforsubclinicalcommotioretinae AT jagjitsgilhotra infraredreflectanceasadiagnosticadjunctforsubclinicalcommotioretinae |