Research Article| Volume 2, ISSUE 3, P221-224, 1971

The retinal manifestations of fat embolism

  • C.B.T. Adams
    Requests for reprints should be addressed to:—C. B. T. Adams, Esq., M.Chir., F.R.C.S., The Neurosurgical Unit, Maudsley Hospital, DeCrespigny Park, London S.E.5.
    Department of Neurological Surgery, The Radcliffe Infirmary, Oxford, UK
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      A case of fat embolism is described, emphasizing the mild and possibly transient confusion that precedes the onset of coma. Marked hypoxia was present, however, at this stage of mild confusion. The retinal changes are illustrated and their importance stressed not only as a diagnostic aid but also as an explanation for visual symptoms following an injury. The differentiation from other causes of retinal haemorrhages and exudates following trauma is briefly discussed.
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        • Aldred A.J.
        Fat Embolism with a Report of 9 Cases.
        Br. J. Surg. 1953; 41: 82
        • Andrew J.
        • Nathan P.W.
        Lesions of the Anterior Frontal Lobes and Disturbances of Micturition and Defaecation.
        Brain. 1964; 87: 233
        • Bedell A.J.
        Traumatic Retinal Angiopathy.
        Archs Ophthal. 1939; 22: 351
        • von Bergmann E.B.
        Zur Lehre von der Fettembolie.
        in: Luang Dissert Dorpat. E. J. Karow, 1863
      1. Box, W. M. (1957), Quoted by Walsh, F. B. (1957).

        • Calmettes L.
        • Déodati F.
        • Bec P.
        A propos de Quatre Cas d'Embolie Grassieuse Retinienne.
        Bull. Soc. Ophthal. Fr. 1966; 66: 980
        • Collins J.A.
        • Gordon W.C.
        • Hudson C.L.
        Systemic Fat Embolism in Four Combat Casualties.
        Ann. Surg. 1968; 167: 493
        • Czerny V.
        Ueber die Klinische Bedeutung der Fettembolie.
        Berl. klin. Wschr. 1875; 12: 593
        • Dale T.
        • Galin M.A.
        Spurious Papilloedema and Visual Field Contraction after Head Injury.
        J. Neurol. Neurosurg. Psychiat. 1970; 33: 166
        • Devoe A.G.
        Ocular Fat Embolism. A Clinical and Pathological Report.
        Trans. Am. Ophthal. Soc. 1949; 47: 254
        • Duke-Elder W.S.
        Textbook of Ophthalmology. vol. VI. Kimpton, London1949
        • Evans J.J.
        Cerebral Fat Embolism with Recovery and Involvement of Central Retinal Artery.
        Br. J. Ophthal. 1940; 24: 614
        • Fritz M.H.
        • Hogan M.J.
        Fat Embolism involving the Human Eye.
        Am. J. Ophthal. 1948; 31: 527
        • Grosskloss H.H.
        Fat Embolism.
        Yale J. Biol. Med. 1935; 8: 175
        • Kearns J.P.
        Fat Embolism of the Retina.
        Am. J. Ophthal. 1956; 41: 1
        • Kehler A.
        Optic Atrophy and Retinal Changes following Thoracic Trauma.
        Acta Ophthal. 1953; 31: 437
      2. McArdle, M. J. (1949), Quoted by Morgan, O. G. (1949).

        • Moreau P.G.
        • Mugneret G.
        • Cuq G.
        A propos d'un Cas d'Embolie Graisseuse.
        Bull. Soc. Ophthal. Fr. 1968; 68: 690
        • Morgan O.G.
        Some Cases of Fat Embolism of the Retina.
        Trans. ophthal. Soc. U.K. 1949; 69: 441
        • Muller H.
        Erkranking von Choroidea Glaskorper und Retina bei Morbus Bright.
        Wirzburger med. Z. 1860; 1: 45
        • Newman P.H.
        The Clinical Diagnosis of Fat Embolism.
        J. Bone Jt Surg. 1948; 30B: 290
        • Pape R.
        Purtscher's Traumatic Retinal Angiopathy and Retinal Fat Embolism.
        Archs Ophthal. 1964; 167: 585
        • Peltier L.F.
        The Diagnosis of Fat Embolism.
        Surgery Gynec. Obstet. 1965; 121: 371
      3. (Berlin ud Versamml d Opht. Gesellsch. Heidelberg)
        • Purtscher O.
        Noch Unbekannte Befunde nach Schadeltrauma.
        • Rask J.A.
        Post Traumatic Fat Embolism located at the Retina.
        Acta Ophthal. 1968; 46: 218
        • Ross A.P.J.
        The Fat Embolism Syndrome: with Special Reference to the Importance of Hypoxia in the Syndrome.
        Ann. R. Coll. Surg. 1970; 46: 159
        • Russell D.
        Discussion on Fat Embolism and the Brain.
        in: Proc. R. Soc. Med.34. 1941: 639
        • Schneider R.C.
        A Problem in the Differential Diagnosis of Craniocerebral Trauma.
        J. Neurosurg. 1952; 9: 1
        • Sevitt S.
        Fat Embolism.
        Butterworths, London1962
        • Silverstein A.
        Significance of Cerebral Fat Embolism.
        Neurology. 1952; 2: 292
        • Spaeth E.B.
        Traumatic Liporrhagia Retinalis (Verhoeff). Purtscher's Disease.
        Archs Ophthal. 1944; 31: 191
        • Urbanek J.
        Ueber Fettembolie des Auges.
        Albrecht v. Graefes Arch. Ophthal. 1934; 131: 147
        • Wagener H.P.
        Lesions of Retina and Optic Nerve Secondary to Distant Trauma.
        Am. J. med. Sci. 1954; 228: 226
        • Walsh F.B.
        Clinical Neuro-ophthalmology.
        in: Ballière, Tindall & Cox, London1957: 865
        • Warthin A.J.
        Traumatic Lipaemia and Fatty Embolism.
        Internat. Clinica. 1913; 4: 171