Molnár Adél, Gombocz Eszter, Nagy Zoltán Zsolt, Schneider Miklós
Általános Orvostudományi Kar,Semmelweis EgyetemBudapest.
Általános Orvostudományi Kar, Szemészeti Klinika,Semmelweis EgyetemBudapest, Mária u. 39., 1085.
Orv Hetil. 2020 Apr 1;161(16):632-636. doi: 10.1556/650.2020.31708.
Solar retinopathy is the photochemical and thermic injury of the retinal photoreceptors and the pigment epithelium caused by ultraviolet (UV) radiation. As a consequence, the most common symptoms are visual acuity deterioration, blurred vision and positive scotoma. Optical coherence tomography (OCT), microperimetry and fluorescein angiography (FLA) are helpful in determining the diagnosis. Authors present an 18-year-old male having central scotomas affecting both eyes who presented at the Department of Ophtalmology of Semmelweis University. OCT scans revealed a localised defect and hyperreflectivity of certain retinal layers and microperimetry examination detected decreased retinal sensitivity consistent with the lesions. After a follow-up of 6 months, the defect of the right eye became more subtle and the one on the left disappeared completely. Microperimetry results correlated with OCT findings. Subjective symptoms on the right eye decreased significantly and they do not affect his daily life anymore, symptoms on the left eye discontinued. Currently, no specific therapy exists for solar retinopathy. Symptoms and defects in favourable cases normalise in 3–6 months which highlights the importance of public health education and prevention. Orv Hetil. 2020; 161(16): 632–636.
日光性视网膜病变是由紫外线（UV）辐射引起的视网膜光感受器和色素上皮的光化学和热损伤。因此，最常见的症状是视力下降、视物模糊和阳性暗点。光学相干断层扫描（OCT）、微视野检查和荧光素血管造影（FLA）有助于确诊。作者报告了一名18岁男性，双眼出现中心暗点，就诊于塞梅尔维斯大学眼科。OCT扫描显示视网膜某些层存在局限性缺损和高反射性，微视野检查发现与病变一致的视网膜敏感度降低。经过6个月的随访，右眼的缺损变得更不明显，左眼的缺损完全消失。微视野检查结果与OCT结果相关。右眼的主观症状明显减轻，不再影响其日常生活，左眼症状消失。目前，日光性视网膜病变尚无特异性治疗方法。在病情有利的情况下，症状和缺损会在3至6个月内恢复正常，这凸显了公共卫生教育和预防的重要性。《匈牙利医学周报》。2020年；161（16）：632 - 636。
