Spectral-domain optical coherence tomography characteristics of macular contusion trauma.

Purpose: To describe the characteristics of macular lesions after eye trauma using spectral-domain optical coherence tomography (OCT). Methods: We retrospectively reviewed and described 2-dimensional (2D) and 3-dimensional (3D) spectral-domain OCT characteristics of 24 consecutive eyes of 24 cases that were identified with macular lesions after eye trauma. Results: Spectral-domain OCT clearly demonstrated a variety of lesions: hemorrhage, epiretinal membrane formation, macular hole, retinal pigment epithelium (RPE) rupture combined with choroidal neovascularization formation, photoreceptor inner/outer surface changes, RPE detachment, scar formation with e.g. diffuse macular edema, macular distortion or macular atrophy. Main lesions were located in the fovea area in 11 eyes (45.8%), the parafovea in 3 eyes (12.5%) and the whole macular area in 10 eyes (41.7%). Conclusion: Spectral-domain OCT is a useful investigation providing refined and credible 2D/3D images, precisely locating macular lesions after contusion trauma. Copyright (C) 2011 S. Karger AG, Basel