This 28YO male presented with 20/60 vision after being hit the night before in the right eye with a Nerf arrow.
Optos imaging shows outer retinal whitening and hemorrhages extending from the inferior macula into the inferotemporal periphery. Multiple ragged retinal breaks with a shallow retinal detachment are noted more peripherally.
The patient was taken to the operating room later that day for vitrectomy surgery.
Learning Points:
Commotio retinae follows direct, blunt eye trauma. The outer retinal whitening is due to shearing of the photoreceptor outer segments.
The term “Berlin’s edema” is a misnomer and should not be used, since the retina is not edematous.
