PMID- 30631274 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1663-2699 (Print) IS - 1663-2699 (Electronic) IS - 1663-2699 (Linking) VI - 9 IP - 3 DP - 2018 Sep-Dec TI - Microvascular Capillary Plexus Findings of Commotio Retinae on Optical Coherence Tomography Angiography. PG - 473-478 LID - 10.1159/000494916 [doi] AB - Optical coherence tomography (OCT) and histopathology features of commotio retinae (CR) have been established, but alterations of the microvascular macular capillary plexus on OCT angiography (OCTA) has not been previously studied. We present a 46-year-old man who sustained a tennis ball injury to the right eye with visual acuity reduction to 20/30 and grey-white deep macular discoloration, suggestive of CR. Spectral-domain OCT (SD-OCT) showed increased reflectivity and thickness of the ellipsoid zone (junction of photoreceptor inner and outer segments). OCTA revealed no apparent microvascular alterations (right versus left eye) in the foveal avascular zone superficial (0.42 vs. 0.43 mm(2)) and deep (0.45 vs. 0.44 mm(2)), superficial foveal capillary density (34.1 vs. 32.6%), and superficial parafoveal capillary density (55.2 vs. 52.2%). Deep macular capillary plexus and choriocapillaris were qualitatively comparable between the two eyes. At 2 months' follow-up, SD-OCT had normalized. CR is characterized by disruption of the ellipsoid zone without detectable alteration of the capillary plexuses. FAU - Mansour, Ahmad M AU - Mansour AM AD - Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. AD - Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon. FAU - Shields, Carol L AU - Shields CL AD - Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. LA - eng PT - Case Reports DEP - 20181127 PL - Switzerland TA - Case Rep Ophthalmol JT - Case reports in ophthalmology JID - 101532006 PMC - PMC6323412 OTO - NOTNLM OT - Berlin's edema OT - Commotio retinae OT - Optical coherence tomography angiography OT - Spectral-domain optical coherence tomography OT - Traumatic maculopathy EDAT- 2019/01/12 06:00 MHDA- 2019/01/12 06:01 PMCR- 2018/11/27 CRDT- 2019/01/12 06:00 PHST- 2018/09/17 00:00 [received] PHST- 2018/10/28 00:00 [accepted] PHST- 2019/01/12 06:00 [entrez] PHST- 2019/01/12 06:00 [pubmed] PHST- 2019/01/12 06:01 [medline] PHST- 2018/11/27 00:00 [pmc-release] AID - cop-0009-0473 [pii] AID - 10.1159/000494916 [doi] PST - epublish SO - Case Rep Ophthalmol. 2018 Nov 27;9(3):473-478. doi: 10.1159/000494916. eCollection 2018 Sep-Dec.