Moran Sarah, O'Donoghue Eamonn
Mater Private Hospital, Dublin, Ireland.
BMJ Case Rep. 2013 Jan 25;2013:bcr2012008402. doi: 10.1136/bcr-2012-008402.
A young woman presented with a 2-day history of bilateral central scotoma and metamorphopsia following an episode of direct sun-gazing lasting 1-2 min. On examination, visual acuity was reduced to 6/9 bilaterally. Fundal examination revealed discrete yellow lesions at both maculae consistent with solar burns. Optical coherence tomography revealed retinal pigment epithelial defects at both fovea, which improved over time. The patient was managed conservatively. There was full resolution of symptoms in the left eye; however, a central scotoma persisted in the right eye at follow-up 1 year later.
一名年轻女性在直视太阳1至2分钟后，出现双侧中心暗点和视物变形2天。检查发现，双眼视力均降至6/9。眼底检查显示，双眼黄斑处有散在的黄色病变，符合日光灼伤。光学相干断层扫描显示，双眼黄斑中心凹处存在视网膜色素上皮缺损，且随时间推移有所改善。该患者接受了保守治疗。左眼症状完全消失；然而，1年后随访时，右眼仍存在中心暗点。
