Atlas of Ophthalmology

Decreased Capillary Density in Left Macula Area after Traumatic Brain Injury (OS, Triton OCT-Angiography)

Decreased Capillary Density in Left Macula Area after Traumatic Brain Injury (OS, Triton OCT-Angiography)
Triton OCT-Angiography superficial and deep retinal layer, OS: decreased capillary density in left hemisphere compared to the right hemisphere. This might be caused by a thinned retinal ganglion cell layer due to transneuronal retrograde degeneration of the retinal ganglion cells after a traumatic brain injury with a lesion of the retrochiasmal pathway in 03/2017. Patient: female, 51 years of age, BCVA 1.0 at OD, 1.0 at OS, IOP 15/ 16 mmHg, homonymous bilateral hemianopia , traumatic brain injury with subdural hematoma in 03/2017. Now visual fields presenting a homonymous bilateral hemianopia caused by a MRI-lesion of the retrochiasmal pathway. The retinal ganglion cell thickness maps showing a homonymous hemispheric thinning due to the transneuronal retrograde degeneration the retinal ganglion cells. Homonymous bilateral field defects, left side Literature: Park HY, Park YG, Cho AH, Park CK. Transneuronal retrograde degeneration of the retinal ganglion cells in patients with cerebral infarction. Ophthalmology. 2013 Jun;120(6):1292-9
Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Erlangen, Deutschland
ICD H53.462
Netzhaut -> Trauma(Verletzung) -> Homonyme hemisphärische Degeneration der retinalen Ganglien Zellschicht nach SHT (OCT Triton, GF)
11004
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