J Korean Ophthalmol Soc.  2015 Dec;56(12):1974-1978. 10.3341/jkos.2015.56.12.1974.

A Case of Acute Bilateral Solar Retinopathy Diagnosed with Spectral Domain Optical Coherence Tomography

• Kwon JY
• Jung JH
• Kim DG

• KMID: 2148764
• DOI: http://doi.org/10.3341/jkos.2015.56.12.1974

Abstract

PURPOSE
To report a case of acute bilateral solar retinopathy diagnosed using spectral domain optical coherence tomography (SD-OCT).
CASE SUMMARY
A 74-year-old female patient consulted for amblyopia and metamorphopsia at a local hospital. On the patient's first visit, there were no abnormal findings based on slit lamp microscope. Additional examinations were conducted since the patient complained of metamorphopsia with visual acuity and corrected vision. Fundus photography and SD-OCT examination showed symmetrical lesions near the bilateral macula. Several evaluations of the patient's medical history confirmed that the patient was exposed directly to the sun for 30 minutes. One month after the first visit, visual acuity improved but metamorphopsia remained unchanged. Lesion status could not be confirmed by fundus photography. There was no abnormal finding on fluorescence angiography. SD-OCT examination still showed bilateral symmetric disruption of the outer retina but with no significant interval change.
CONCLUSIONS
In the present case, the patient with bilateral intraocular lenses who complained of acute binocular amblyopia was diagnosed accurately through SD-OCT tests for bilateral symmetric disruption on the outer retina and repetitive evaluations of patient's medical history.

Keyword

Acute bilateral solar retinopathy; Disruption; Patient's medical history; Spectral domain optical coherence tomography (SD-OCT)

MeSH Terms

Aged
Amblyopia
Female
Fluorescein Angiography
Humans
Lenses, Intraocular
Photography
Retina
Solar System
Telescopes
Tomography, Optical Coherence*
Vision Disorders
Visual Acuity

Figure

• 

  Figure 1. Fundus photography and SD-OCT examination. At patient’s first visit, fundus photography shows yellowish-white spot pigmentation in the central fovea (A, B). SD-OCT shows bilateral symmetric disruption of the outer retina (C, D). SD-OCT = spec-tral domain optical coherence tomography.

• 

  Figure 2. Fundus photography and SD-OCT examination. One month after the first visit, status of lesion cannot not be confirmed by fundus photography (A, B). SD-OCT examination shows bilateral symmetric disruption of the outer retina with no difference (C, D). SD-OCT = spectral domain optical coherence tomography.

Reference

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