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Self-induced Orbital Compression Injury Saturday Night Retinopathy

Alice L. Williams, MD1; Margaret Greven, MD1; Samuel K. Houston, MD1; Sonia Mehta, MD1
[+] Author Affiliations
1Vitreoretinal Diseases and Surgery Service, Department of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2015;133(8):963-965. doi:10.1001/jamaophthalmol.2015.1114.
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Inadvertent compression of ocular tissues is an exceedingly rare cause of vision loss. Herein, we describe the second reported case, to our knowledge, of a self-induced orbital compression syndrome and the first set of images obtained with optical coherence tomography and fluorescein angiography in this condition.

Article InformationCorresponding Author: Sonia Mehta, MD, Vitreoretinal Diseases and Surgery Service, Department of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University Hospital, 840 Walnut St, Ste 1020, Philadelphia, PA 19107 (soniamehtamd@gmail.com).

Published Online: May 21, 2015. doi:10.1001/jamaophthalmol.2015.1114.

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

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Figure 1.
Fundus Photographs and Optical Coherence Tomography of the Right Eye

A, Fundus photographs demonstrate retinal whitening, attenuated vessels, retinal folds (black arrowhead), and peripheral retinal pigment epithelial abnormalities (white arrowhead). B, Optical coherence tomography demonstrates severe disorganization of the retinal architecture, subretinal fluid, and sub–retinal pigment epithelial fluid (arrow indicates direction of the scan).

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Figure 2.
Fluorescein Angiography of the Right Eye

A-D, Fluorescein angiography in the choroidal phase, showing delayed choroidal filling (A), the arterial phase, demonstrating delayed retinal arterial filling and patchy temporal hyperfluorescence (B), the venous phase (C), and the late phase, showing diffuse leakage and poor vascular perfusion (D).

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