Koinzer S O, Treumer F, Elsner H, Roider J
Klinik für Augenheilkunde, UK-SH Campus Kiel.
Klin Monbl Augenheilkd. 2007 Nov;224(11):862-6. doi: 10.1055/s-2007-963685.
Solar retinopathy is a phototoxic damage to the central retina. It may cause visual deterioration and a central scotoma with reading difficulties, that usually fade with time. Morphological and functional changes can be very subtle and are often inadequately detected by standard examinations.
The more affected, left eye of a 41-year-old female patient was examined clinically, by optical coherence tomography (OCT 3) and by MP 1-microperimetry during a 6-month follow up after gazing at a partial eclipse.
At all times visual acuity was reduced to 0.7 causing visual deterioration. OCT examinations showed a subfoveal damage of decreasing extent, which was still detectable after 6 months. The retinal affection resulted in a persistent microscotoma of decreasing depth.
OCT 3 and MP 1-microperimetry are able to detect the morphological and the functional damages in solar retinopathy at a level of sensitivity good enough to produce correlating results which allow the detection of subtle changes during follow-up.
日光性视网膜病变是对视网膜中央部位的光毒性损伤。它可能导致视力下降以及出现中央暗点并伴有阅读困难，这些症状通常会随时间逐渐消退。形态学和功能上的变化可能非常细微，标准检查往往难以充分检测到。
一名41岁女性患者受影响更严重的左眼，在凝视日偏食后的6个月随访期间，接受了临床检查、光学相干断层扫描（OCT 3）以及MP 1 - 微视野计检查。
视力始终降至0.7，导致视力下降。OCT检查显示黄斑下损伤范围逐渐减小，6个月后仍可检测到。视网膜病变导致持续存在的微暗点，深度逐渐减小。
OCT 3和MP 1 - 微视野计能够以足够高的敏感度检测日光性视网膜病变中的形态学和功能损伤，从而得出相关结果，以便在随访期间检测到细微变化。
