Experience in the use of scanning laser ophthalmoscopy in the diagnosis of posttraumatic changes in the ocular fundus
Kochergin S.A., Klescheva E.A., Ovsyanko A.A., Slonimsky S.Yu., Gupalo O.D.

Russian Medical Academy of Continuous Professional Education, Moscow

Injury of the eye is one of the main causes of permanent visual impairment in the world. Accurate diagnosis of the traumatic injury consequences is required for a complete evaluation of the damage and selection of the most optimal therapy. No studies have been found in the literature on the application of scanning laser ophthalmoscopy for the diagnosis of eye injuries. 
Aim: to evaluate the capabilities of the scanning laser ophthalmoscope in the diagnosis of post-traumatic changes of the fundus.
Patients and methods: The study included 50 patients (100 eyes) with eye contusion of different severity. The average age of the patients was 39,2±14,6 years. All the patients underwent the examination of the affected and contralateral eye using scanning laser ophthalmoscopy with retro-mode and autofluorescence imaging. 
Results: using scanning laser ophthalmoscopy we registered such pathological states as neiroretinal detachment (7 cases, 14%), subretinal hemorrhage (8 cases, 16%), contusion retinopathy (29 cases, 58%), traumatic macular hole (4 cases, 8%), choroidal rupture (3 cases, 6%), hypotonic retinopathy (n=3, 6%), circulatory failure in the inferior temporal branch central retinal artery (1 case, 2%), traumatic optic neuropathy (1 case, 2%). 
Conclusions: scanning laser ophthalmoscopy – is a valuable tool for the diagnosis of post-traumatic changes of the fundus. The method makes it possible to register the most subtle changes on the morphological level and measure the area of pathological changes. Fundus images with high quality allow to detect the changes, even at a subclinical course. Thus scanning laser ophthalmoscopy can improve the quality of diagnosis and predict and monitor the dynamics of the process and ongoing therapy.

Key words: scanning laser ophthalmoscopy, closed-globe injury, eye contusion
For citation: Kochergin S.A., Klescheva E.A., Ovsyanko A.A. et al. Experience in the use of scanning laser ophthalmoscopy in the diagnosis of posttraumatic changes in the ocular fundus // RMJ. Clinical ophthalmology. 2017. № 2. P. 89–94.