Commotio Retinae

  • Felipe Muralha
Part of the Retina Atlas book series (RA)


A commotio retina is a transient retinal lesion following direct ocular injury. It was first described by Berlin (1873) as whitening in the retina after a blunt trauma to the globe (Figs. 5.1, 5.2 and 5.3), usually appearing in the opposite site of the trauma (contrecoup injury).


  1. Berlin R. Zur sogenannten commotio retinae. The so-called commotion retinae. Klin Monatsbl Augenheilkd. 1873;1:42–78.Google Scholar
  2. Blanch RJ, Good PA, Shah P, Bishop J, Logan A, Scott R. Visual outcomes after blunt ocular trauma. Ophthalmology. 2013;120:1588–91.CrossRefGoogle Scholar
  3. Blight R, Hart JC. Histological changes in the internal retinal layers produced by concussive injuries to the globe. An experimental study. Trans Ophthalmol Soc U K. 1978;98:270–7.PubMedGoogle Scholar
  4. Crouch ER, Apple DJ. Posttraumatic migration of retinal pigment epithelial melanin. Am J Ophthalmol. 1974;78:251–4.CrossRefGoogle Scholar
  5. Eagling EM. Ocular damage after blunt trauma to the eye. Its relationship to the nature of the injury. Br J Ophthalmol. 1974;58:126–40.CrossRefGoogle Scholar
  6. François J, De Laey JJ. Fluoroangiographic study of traumatic chorioretinal angiopathy. Bull Soc Belge Ophtalmol. 1970;156:577–89.PubMedGoogle Scholar
  7. Gregor Z, Ryan SJ. Blood-retinal barrier after blunt trauma to the eye. Graefes Arch Clin Exp Ophthalmol. 1982;219:205–8.CrossRefGoogle Scholar
  8. Hart JC, Frank HJ. Retinal opacification after blunt non-perforating concussional injuries to the globe. A clinical and retinal fluorescein angiographic study. Trans Ophthalmol Soc U K. 1975;95:94–100.PubMedGoogle Scholar
  9. Mansour AM, Green WR, Hogge C. Histopathology of commotio retinae. Retina. 1992;12:24–8.CrossRefGoogle Scholar
  10. Pulido JS, Blair NP. The blood-retinal barrier in Berlin’s edema. Retina. 1987;7:233–6.CrossRefGoogle Scholar
  11. Sipperley JO, Quigley HA, Gass DM. Traumatic retinopathy in primates. The explanation of commotio retinae. Arch Ophthalmol. 1978;96:2267–73.CrossRefGoogle Scholar
  12. Souza-Santos F, Lavinsky D, Moraes NS, Castro AR, Cardillo JA, Farah ME. Spectral-domain optical coherence tomography in patients with commotio retinae. Retina. 2012;32(4):711–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Felipe Muralha
    • 1
  1. 1.Department of OphthalmologyFederal University of São PauloSão PauloBrazil

Personalised recommendations