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急性日食性视网膜病变:一个小病例系列

Acute eclipse retinopathy: a small case series.

作者信息

Khatib Nur, Knyazer Boris, Lifshitz Tova, Levy Jaime

机构信息

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.

出版信息

J Optom. 2014 Oct-Dec;7(4):225-8. doi: 10.1016/j.optom.2013.12.006. Epub 2014 Jan 22.

Abstract

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.

摘要

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。

相似文献

1
Acute eclipse retinopathy: a small case series.急性日食性视网膜病变:一个小病例系列
J Optom. 2014 Oct-Dec;7(4):225-8. doi: 10.1016/j.optom.2013.12.006. Epub 2014 Jan 22.
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Photo-induced foveal injury after viewing a solar eclipse.
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[Eclipse retinopathy].[日蚀性视网膜病变]
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本文引用的文献

1
Solar retinopathy: a multimodal analysis.日光性视网膜病变:多模态分析
Case Rep Ophthalmol Med. 2013;2013:906920. doi: 10.1155/2013/906920. Epub 2013 Feb 12.
6
Solar maculopathy in a young child.一名幼儿的日光性黄斑病变
Br J Ophthalmol. 2010 Sep;94(9):1258-9, 1269. doi: 10.1136/bjo.2008.154450. Epub 2009 Feb 2.
9
Photochemical damage of the retina.视网膜的光化学损伤。
Surv Ophthalmol. 2006 Sep-Oct;51(5):461-81. doi: 10.1016/j.survophthal.2006.06.009.

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