J Korean Ophthalmol Soc > Volume 60(12); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(12):1344-1351.
DOI: https://doi.org/10.3341/jkos.2019.60.12.1344    Published online December 15, 2019.
Long-term Follow-up Results of Patients with Welding-arc Maculopathy Assessed Using Spectral Domain Optical Coherence Tomography.
Ji Hye Kim, Bum Jun Kim, Tae Seen Kang, Hyun Kyung Cho, Ki Yup Nam, Ji Myong Yoo, Yong Soep Han
1Department of Ophthalmology, Gyeongsang National University Changwon Hospital, Changwon, Korea. medcabin@naver.com
2Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
스펙트럼영역 빛간섭단층촬영으로 경과 관찰한 용접광황반병증
김지혜1 · 김범준1 · 강태신1 · 조현경1,2 · 남기엽1 · 유지명1 · 한용섭1,2
창원경상대학교병원 안과1, 경상대학교 의과대학 안과학교실2
Correspondence:  Yong Soep Han,
Email: medcabin@naver.com
Received: 20 June 2019   • Revised: 16 August 2019   • Accepted: 29 November 2019
Abstract
PURPOSE
We present four cases of welding arc maculopathy as observed using spectral-domain optical coherence tomography (SD-OCT). CASE SUMMARY: Four patients, who performed welding without wearing protective eye gear, presented to the hospital due to poor visual acuity. The mean visual acuity of the patients was 0.6. Fundus photographs of the four patients revealed a yellowish retinal scar at the fovea. SD-OCT images of the four patients showed photoreceptor inner segment/outer segment junction (IS/OS junction) disruption and retinal pigment epithelium injury. We diagnosed the patients with welding arc maculopathy, and three of them were treated with oral steroids or antioxidants. The IS/OS junctions were restored in two patients, who had short welding arc exposures. The disrupted IS/OS junction recovered partially in one of the other two patients, who had a longer duration of exposure, and the IS/OS junction disruption remained in another patient. CONCLUSIONS: We report four cases of welding arc maculopathy caused by welding light exposure evaluated using SD-OCT and treated with oral steroids and antioxidants.
Key Words: Maculopathy;Optical coherence tomography;Retinal pigment epithelium;Welding


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