Retina Specialist at Marashi Eye Clinic, Aleppo, Syria.
Ophthalmic Resident at Aleppo Eye Surgical Hospital, Aleppo, Syria.
J Med Case Rep. 2021 Dec 2;15(1):577. doi: 10.1186/s13256-021-03162-0.
Solar retinopathy is a disease that causes photochemical toxicity in the retinal fovea tissues, leading to an acute decrease of vision.
This case report is an interventional case of an asymptomatic 17-year-old Caucasian female with a history of suddenly decreased vision due to solar retinopathy. The patient was managed with a custom-made needle injection of triamcinolone acetonide in the suprachoroidal space. Four months post suprachoroidal injection showed an anatomical and functional improvement in the ellipsoid zone layer through optical coherence tomography signal reappearance. In addition, the best-corrected visual acuity had improved from 0.1 to 1.0 on the Snellen chart with the disappearance of the scotoma. However, there was a mild increase in intraocular pressure after this procedure, controlled with topical hypertensive eye drops.
Suprachoroidal triamcinolone acetonide injection using a custom-made needle showed both functional and anatomical improvement of macular changes post-solar retinopathy, with acceptable safety outcomes in a young female.
太阳视网膜病变是一种疾病，会导致视网膜黄斑区组织的光化学毒性，导致视力急性下降。
本病例报告是一例介入性病例，一名无症状的 17 岁白人女性，因太阳视网膜病变导致视力突然下降。该患者接受了定制的曲安奈德在脉络膜上腔的针内注射治疗。脉络膜上腔注射后 4 个月，通过光学相干断层扫描信号重现，椭圆体带层的解剖和功能得到改善。此外，最佳矫正视力从斯涅伦图表上的 0.1 提高到 1.0，同时暗点消失。然而，在此手术后眼压出现轻度升高，通过局部降压眼药水得到控制。
使用定制的针进行脉络膜上腔曲安奈德注射，在年轻女性中显示出太阳视网膜病变后黄斑变化的功能和解剖改善，具有可接受的安全性。
