급성 안외상환자에서 광각안저촬영을 이용한 망막검사의 유용성

초록

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. © 2019 The Korean Ophthalmological Society.

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