Utility of Ultra-wide Fundus Photography in Patients with Acute Blunt Ocular Trauma

Du Roo Kim; Eun Hee Hong; Yong Un Shin; Min Ho Kang; Mincheol Seong; Heeyoon Cho

doi:10.3341/jkos.2019.60.5.428

Journal List > J Korean Ophthalmol Soc > v.60(5) > 1122592

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Kim, Hong, Shin, Kang, Seong, and Cho: Utility of Ultra-wide Fundus Photography in Patients with Acute Blunt Ocular Trauma

Original Article

Journal of the Korean Ophthalmological Society 2019; 60(5): 428-433.

Published online: 15 May 2019

DOI: https://doi.org/10.3341/jkos.2019.60.5.428

Utility of Ultra-wide Fundus Photography in Patients with Acute Blunt Ocular Trauma

Du Roo Kim, MD, Eun Hee Hong, MD, Yong Un Shin, MD, PhD, Min Ho Kang, MD, PhD, Mincheol Seong, MD, PhD, Heeyoon Cho, MD, PhD

Department of Ophthalmology, Hanyang University Guri Hospital, Guri, Korea.

Address reprint requests to Heeyoon Cho, MD, PhD. Department of Ophthalmology, Hanyang University Guri Hospital, #153 Gyeongchun-ro, Guri 11923, Korea. Tel: 82-31-560-2350, Fax: 82-31-564-9479, hycho@hanyang.ac.kr

Received 2 August 2018 Revised 30 September 2018 Accepted 17 April 2019

The Korean Ophthalmological Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We explored the utility of ultra-wide fundus photography (UFP) to evaluate patients with blunt ocular trauma who visited our emergency room.

Methods

We retrospectively reviewed the records of 162 patients with blunt ocular trauma who visited the emergency room between June 2015 and December 2016. The patients were divided into two groups: those who underwent UFP and those who did not. We reviewed all medical records and took photographs to illustrate trauma-related retinal problems, and compared the two groups.

Results

Ninety-two eyes underwent UFP and 70 eyes did not. In the latter group, commotio retinae was detected in 17 eyes (24%), Berlin's edema in seven (10%), and retinal hemorrhage in three (4%). In the former group, commotio retinae was detected in 45 eyes (49%), Berlin's edema in 10 (11%), and retinal hemorrhage in 10 (11%). Retinal breaks were evident in only two eyes (2%). The frequency of commotio retinae significantly differed between the two groups.

Conclusions

UFP usefully detects abnormal retinal lesions in patients with acute blunt periorbital trauma, particularly in those with severe eyelid swelling and those who are in pain.

Keywords: Blunt ocular trauma, Ultra-wide fundus photography

Figures and Tables

Figure 1

Retinal findings in eyes with blunt ocular trauma. Commotio retinae in 17 eyes (24%), Beriln's edema in seven eyes (10%), retinal hemorrhage in three eyes (4%) were detected and retinal breaks were not detected in group without wide fundus photography. Commotio retinae in 45 eyes (49%), Beriln's edema in 10 eyes (11%), retinal hemorrhage in 10 eyes (11%) and retinal breaks in two eyes (2%) were detected in group with wide angle fundus photography (^*p < 0.05).

Figure 2

Facial photography (A), traditional fundus photography (B), and ultra-wide fundus photography (C) in a 69-year-old woman with ocular blunt trauma due to slip down. Left eyelid swelling with abrasion were shown and blow-out fracture (medial orbital wall) was found in orbital computed tomography. Ultra-Wide fundus photography show commotio retinae (yellow arrowheads) and retinal hemorrhage (red arrowhead) more prominently than conventional fundus photographs.

Table 1

The demographics and the comparison of the two groups; patients who underwent ultra-wide fundus photography (with wide photography) and patients who underwent examinations without ultra-wide fundus photography (without wide photography)

Values are presented as mean ± standard deviation or n (%).

^*Student's t-test; ^†chi-squared test; ^‡Fisher's exact test.

Table 2

Distribution and frequency of abnormal retinal findings by modality of ocular trauma

Values are presented as n (%). p-value was calculated by difference between two group.

^*Chi-squared test; ^†Fisher's exact test.

Table 3

Comparison of distribution and frequency of traumatic retinal abnormality between patients with wide fundus photography and without wide fundus photography according to presence or absence of ocular traumas

Values are presented n (%). p-value was calculated by difference between two group.

^*Chi-squared test.

Notes

^{Conflicts of Interest} The authors have no conflicts to disclose.

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