Spontaneous Resolution of Post-Traumatic Bilateral Serous Retinal Detachment in Childrens

Joon Kim Sang; Young Kim Jin; Pyo Park Sung

doi:10.3341/jkos.2008.49.6.1018

Journal List > J Korean Ophthalmol Soc > v.49(6) > 1008005

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Sang, Jin, and Sung: Spontaneous Resolution of Post-Traumatic Bilateral Serous Retinal Detachment in Childrens

Original Article

J Korean Ophthalmol Soc 2008;49(6):1018-1021.

Published online: 8 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.6.1018

Spontaneous Resolution of Post-Traumatic Bilateral Serous Retinal Detachment in Childrens

Joon Kim Sang, M.D., Young Kim Jin, M.D., Pyo Park Sung, M.D.

Department of Ophthalmology, Kang Dong Sacred Heart Hospital, Hallym Medical University, Seoul, Korea

Address reprint requests to Sung-Pyo Park, M.D. Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University #445 Kil-dong, kangdong-gu, Seoul 134-701, Korea Tel: 82-2-2224-2274, Fax: 82-2-470-2088, E-mail: sungpyo@hanafos.com

13 February 2008 Accepted 13 February 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We report a case of post‐ traumatic bilateral serous retinal detachment that resolved spontaneously within a month.

Case summary

An 8-year-old male patient presented with post-traumatic bilateral serous retinal detachment and decreased visual acuity. We did not perform any specific treatment. Best corrected visual acuity (BCVA), fluorescein angiography (FA), optical coherence tomography (OCT), and slit lamp examination were used.

Conclusions

After 1 month, the patient’s BCVA improved to 1.0 in both eyes, and serous retinal detachment resolved; FA findings and OCT findings were nearly normal.

Keywords: Post-traumatic bilateral serous detachment

References

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Figure 1.

In both eyes, elevated serous lesion at superotemporal area (black arrow lined) was observed. Macular involvement is seen on optical coherence tomography (OCT).

Figure 2.

Fluorescein angiographs (FA). (A, B) In the early phase, superotemporal hypofluorescence lesion is seen inside the vascular arcade in both eyes (black arrow head) and hyperfluorescence lesion (black arrow). (C, D) In the late phase, the fluorescence pooling involving macula is seen in both eyes. There are still hypofluorescence lesion (black arrow head). Hyperfluorescence lesion shows slight leakage (black arrow) in the late phase.

Figure 3.

At one month after initial trauma, the elevated serous lesion is no longer seen in both eyes. Also, there is no serous retinal detachment of the macula in both eyes.

Figure 4.

Fluorescein Angiographs (FA) after 1 month. (A, B) Early phase. There still exist hypofluorescence lesions on superotemporal area (black arrow head). (C, D) Late phase. Fluorescein pooling is seen in the late phase. Also, No hyperfluorescence spot is detected.

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