Khatib Nur, Knyazer Boris, Lifshitz Tova, Levy Jaime
Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
J Optom. 2014 Oct-Dec;7(4):225-8. doi: 10.1016/j.optom.2013.12.006. Epub 2014 Jan 22.
We present four young patients with acute severe solar retinopathy after observation of the total eclipse on January 4, 2011 without appropriate eye protection. Funduscopic findings were accompanied by optical coherence tomography (OCT) investigation of the macula. All our patients were young (range 14-29 years). In three of the four patients we have been able to repeat OCT evaluation revealing that the retinal changes were reversible, but delineating mild pathology in the retinal pigment epithelium and photoreceptors. Best-corrected visual acuity in the fourth case was 6/24. In addition, macular edema, which has been previously described in literature, could not be demonstrated by OCT. In the two cases we performed an early fluorescein angiogram, no pathology was seen.
我们报告了4例年轻患者,他们在2011年1月4日未采取适当眼部防护措施观看日全食后发生了急性重度日光性视网膜病变。眼底检查结果伴有黄斑区的光学相干断层扫描(OCT)检查。我们所有患者均为年轻人(年龄范围14 - 29岁)。在4例患者中的3例,我们能够重复进行OCT评估,结果显示视网膜变化是可逆的,但视网膜色素上皮和光感受器存在轻度病变。第4例患者的最佳矫正视力为6/24。此外,文献中先前描述的黄斑水肿在OCT检查中未得到证实。在2例患者中我们进行了早期荧光素血管造影,未发现病变。