A person subjected to whiplash injury during an accident may develop a transient maculopathy.


Patient selection: The patient has been subjected to a motor vehicle or other accident associated with whiplash (flexion-extension injury to the head and neck associated with rapid deceleration).


Clinical features:

(1) The patient notices a mild, bilateral blurring of vision.

(2) There may be a slight decrease in visual acuity.

(3) The vision returns to normal in a few days.


Fundoscopic examination may show:

(1) The foveal retina shows a gray haze with a small depression.

(2) A shallow posterior vitreous separation may be present.

(3) Fluoroscein angiography is normal.


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