Supplementary Material for: Berlin’s Edema with Atypical Optical Coherence Tomography Findings: a case report

Berlin’s edema is an acute traumatic maculopathy following ocular blunt trauma, with the major site of injury is photoreceptor outer segments and retinal pigment epithelium (RPE). Optical coherence tomography (OCT) is a useful tool to diagnose and follow microstructural changes in Berlin’s edema. In this report, we present an atypical case of berlin’s edema that resembled Vogt-Koyanagi-Harada (VKH) disease. OCT demonstrated multiple neurosensory detachments and giant cystic changes of outer retina. Fluorescein angiography showed no dye leakage or vascular alterations. The patient was treated with a short period of topical and systemic corticosteroids and she improved significantly within a few weeks.

柏林水肿（Berlin’s edema）是一种继发于眼钝挫伤的急性创伤性黄斑病变，其主要损伤部位为光感受器外节与视网膜色素上皮（RPE）。光学相干断层扫描（OCT）是诊断柏林水肿并追踪其微结构变化的有效工具。本病例报告中，我们报道了一例表现酷似伏格特-小柳-原田（VKH）病的不典型柏林水肿病例。OCT检查可见多发神经上皮脱离及视网膜外层巨大囊性改变。荧光素眼底血管造影未检测到染料渗漏或血管异常。该患者接受了短期局部与全身糖皮质激素治疗后，数周内病情便得到显著改善。