Bilateral multifocal serous retinal detachments after multiple trauma: a case report

We present a patient with bilateral multifocal serous retinal detachments after multiple trauma in a car accident without preceding corticosteroid treatment. A 37-year-old patient was admitted to our hospital after he had suffered multiple body injuries in a car accident. After being woken from an i...

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Main Authors: Barbara Podnar, Petra Zorman
Format: Article
Language:English
Published: Slovenian Medical Association 2023-08-01
Series:Zdravniški Vestnik
Subjects:
Online Access:https://vestnik.szd.si/index.php/ZdravVest/article/view/3391
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author Barbara Podnar
Petra Zorman
author_facet Barbara Podnar
Petra Zorman
author_sort Barbara Podnar
collection DOAJ
description We present a patient with bilateral multifocal serous retinal detachments after multiple trauma in a car accident without preceding corticosteroid treatment. A 37-year-old patient was admitted to our hospital after he had suffered multiple body injuries in a car accident. After being woken from an induced coma, he complained of blurry vision in his left eye, so he underwent a complete ophthalmic examination – several serous retinal detachments were found at the posterior pole of both eyes, along with thickened choroids. As there was no intraocular inflammation, accelerated hypertension or other changes indicating other causes of serous retinal detachments, and since we observed a steady spontaneous subretinal fluid resorption, we classified our case as an atypical central serous chorioretinopathy. Alternatively, serous retinal detachments could have occurred due to transient alterations in choroidal circulation following cerebral injury. In conclusion, this case report adds new data on the occurrence of serous retinal detachments and discusses their possible aetiology in the trauma setting. Care must be taken not to miss any other underlying pathology needing treatment.
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spelling doaj.art-fe9089adcd544f44bcafaf1d64ed15f12023-08-31T12:01:03ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242023-08-01927-831431910.6016/ZdravVestn.33913391Bilateral multifocal serous retinal detachments after multiple trauma: a case reportBarbara Podnar0Petra Zorman1Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia; Department of Ophthalmology, Izola General Hospital, Izola, SloveniaDepartment of Ophthalmology, Izola General Hospital, Izola, SloveniaWe present a patient with bilateral multifocal serous retinal detachments after multiple trauma in a car accident without preceding corticosteroid treatment. A 37-year-old patient was admitted to our hospital after he had suffered multiple body injuries in a car accident. After being woken from an induced coma, he complained of blurry vision in his left eye, so he underwent a complete ophthalmic examination – several serous retinal detachments were found at the posterior pole of both eyes, along with thickened choroids. As there was no intraocular inflammation, accelerated hypertension or other changes indicating other causes of serous retinal detachments, and since we observed a steady spontaneous subretinal fluid resorption, we classified our case as an atypical central serous chorioretinopathy. Alternatively, serous retinal detachments could have occurred due to transient alterations in choroidal circulation following cerebral injury. In conclusion, this case report adds new data on the occurrence of serous retinal detachments and discusses their possible aetiology in the trauma setting. Care must be taken not to miss any other underlying pathology needing treatment.https://vestnik.szd.si/index.php/ZdravVest/article/view/3391central serous chorioretinopathyserous retinal detachmentpachychoroidmultiple traumacase report
spellingShingle Barbara Podnar
Petra Zorman
Bilateral multifocal serous retinal detachments after multiple trauma: a case report
Zdravniški Vestnik
central serous chorioretinopathy
serous retinal detachment
pachychoroid
multiple trauma
case report
title Bilateral multifocal serous retinal detachments after multiple trauma: a case report
title_full Bilateral multifocal serous retinal detachments after multiple trauma: a case report
title_fullStr Bilateral multifocal serous retinal detachments after multiple trauma: a case report
title_full_unstemmed Bilateral multifocal serous retinal detachments after multiple trauma: a case report
title_short Bilateral multifocal serous retinal detachments after multiple trauma: a case report
title_sort bilateral multifocal serous retinal detachments after multiple trauma a case report
topic central serous chorioretinopathy
serous retinal detachment
pachychoroid
multiple trauma
case report
url https://vestnik.szd.si/index.php/ZdravVest/article/view/3391
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AT petrazorman bilateralmultifocalserousretinaldetachmentsaftermultipletraumaacasereport