ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume : 7 Issue : 2 Year : 2022
Beyoglu Eye Journal Isolated Bilateral Macular Edema due to Le Fort Type 1 and Mandibular Fracture: A Case Report [Beyoglu Eye J]
Beyoglu Eye J. 2022; 7(2): 150-153 | DOI: 10.14744/bej.2022.86548

Isolated Bilateral Macular Edema due to Le Fort Type 1 and Mandibular Fracture: A Case Report

Kürşad Ramazan Zor1, Erkut Küçük2, Çiğdem Samur Salbaş1, Gamze Yıldırım Biçer1
1Department of Ophthalmology, Niğde Ömer Halisdemir University, Faculty of Medicine, Niğde, Turkey
2Department of Radiology, Niğde Training and Research Hospital, Niğde, Turkey

We report the diagnosis and follow-up process of a case who had bilateral macular edema after blunt facial trauma. A 36-year-old male patient with Le Fort type 1 and mandibular fracture without direct ocular trauma referred to the oph-thalmology clinic. Visual acuity was 0.1 in both eyes according to Snellen chart. Ocular examination was normal except bilateral macular edema. The patient did not have any prior systemic or neurological diseases. The patient did not have cotton-wool spots, retinal hemorrhage, or Purtscher flecken in the fundus examination. He used topical 0.1% nepafenac solution for 1 month. Visual acuity returned to normal after complete resolution of the macular edema at 1 month and did not recur in the follow-up. We think that this case may be an isolated macular edema due to facial trauma or an atypi-cal presentation of Purtscher retinopathy. Although facial fractures and trauma may cause Purtscher retinopathy with involvement of different retinal structures, the findings in this case suggest that isolated involvement of macula can also occur in these injuries.

Keywords: Facial trauma, le fort fracture, macular edema, purtscher retinopathy.

Kürşad Ramazan Zor, Erkut Küçük, Çiğdem Samur Salbaş, Gamze Yıldırım Biçer. Isolated Bilateral Macular Edema due to Le Fort Type 1 and Mandibular Fracture: A Case Report. Beyoglu Eye J. 2022; 7(2): 150-153

Corresponding Author: Kürşad Ramazan Zor, Türkiye
Manuscript Language: English
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