J Korean Ophthalmol Soc > Volume 56(12); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(12):1974-1978.
DOI: https://doi.org/10.3341/jkos.2015.56.12.1974    Published online December 15, 2015.
A Case of Acute Bilateral Solar Retinopathy Diagnosed with Spectral Domain Optical Coherence Tomography.
Jin Young Kwon, Jong Hyun Jung, Do Gyun Kim
Department of Ophthalmology, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. kimdk89@empal.com
스펙트럼 영역 빛간섭단층촬영기로 진단한 급성 양안성 일광망막병증 1예
권진영⋅정종현⋅김도균
서남대학교 의과대학 명지병원 안과학교실
Received: 23 July 2015   • Revised: 4 September 2015   • Accepted: 11 November 2015
Abstract
PURPOSE
To report a case of acute bilateral solar retinopathy diagnosed using spectral domain optical coherence tomography (SD-OCT). CASE SUMMARY: A 74-year-old female patient consulted for amblyopia and metamorphopsia at a local hospital. On the patient's first visit, there were no abnormal findings based on slit lamp microscope. Additional examinations were conducted since the patient complained of metamorphopsia with visual acuity and corrected vision. Fundus photography and SD-OCT examination showed symmetrical lesions near the bilateral macula. Several evaluations of the patient's medical history confirmed that the patient was exposed directly to the sun for 30 minutes. One month after the first visit, visual acuity improved but metamorphopsia remained unchanged. Lesion status could not be confirmed by fundus photography. There was no abnormal finding on fluorescence angiography. SD-OCT examination still showed bilateral symmetric disruption of the outer retina but with no significant interval change. CONCLUSIONS: In the present case, the patient with bilateral intraocular lenses who complained of acute binocular amblyopia was diagnosed accurately through SD-OCT tests for bilateral symmetric disruption on the outer retina and repetitive evaluations of patient's medical history.
Key Words: Acute bilateral solar retinopathy;Disruption;Patient's medical history;Spectral domain optical coherence tomography (SD-OCT)


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