Optical Coherence Tomographic Findings in Berlin’s Edema

PURPOSE: To describe optical coherence tomography (OCT) findings in a patient with Berlin’s edema following blunt ocular trauma. CASE REPORT: A 26-year-old man presented with acute loss of vision in his left eye following blunt trauma. He underwent a complete ophthalmologic examination and OCT. Fundus examination revealed abnormal yellow discoloration in the macula. OCT disclosed thickening of outer retinal structures and increased reflectivity in the area of photoreceptor outer segments with preservation of inner retinal architecture. Re-examination was conducted one month later at the time which OCT changes resolved leading to a surprisingly normal appearance. CONCLUSION: OCT can be a useful tool in the diagnosis and follow-up of eyes with Berlin’s edema and may reveal ultrastructural macular changes.