Initial management for commotio retinae is to?

• A. Monitor for resolution
• B. Immediate laser therapy
• C. Intravitreal injections
• D. Systemic antibiotics

Answer: (A)

Commotio retinae is a transient outer retinal disruption after blunt trauma, so the best initial management is observation with follow-up to ensure spontaneous resolution. The retinal whitening and edema typically improve on their own over days to weeks, and there’s no proven benefit from laser therapy for this condition, nor indication for intravitreal injections or systemic antibiotics in the absence of other pathologies. Monitor for any persistent vision changes or late complications (like macular involvement or other retinal injuries) and treat those if they arise.