Eclipse retinopathy A case series after the partial solar eclipse on 20 March 2015

Bachmeier, I. and Helbig, H. and Greslechner, R. (2017) Eclipse retinopathy A case series after the partial solar eclipse on 20 March 2015. OPHTHALMOLOGE, 114 (1). pp. 44-48. ISSN 0941-293X, 1433-0423

Full text not available from this repository. (Request a copy)

Abstract

Background Solar retinopathy refers to damage to the central macula caused by exposure to intense solar radiation, most frequently observed after a solar eclipse. Objective Description of the morphological changes in spectral domain optical coherence tomography (SD-OCT) and the clinical course in patients with acute solar retinopathy. Materials and methods The study included a retrospective analysis of 12 eyes from 7 patients with solar retinopathy after the partial solar eclipse on 20 March 2015. Best corrected visual acuity, fundus changes and SD-OCT findings were analyzed. Out of the 7 patients 5 underwent treatment with 1 mg prednisolone per kg body weight. Results The average age of the patients was 30.1 +/- 13.1 years. Best corrected visual acuity was 0.65 at initial presentation. In the acute stage all affected eyes showed a small yellowish lesion in the centre of the fovea in the fundoscopic examination. In SD-OCT the continuity of all layers in the foveola appeared disrupted. In the follow-up examination these changes were partially resolved. After 2 months SD-OCT revealed a small defect of the ellipsoid zone. In one patient the defect could not be shown due to slightly excentric imaging sections. Best corrected visual acuity increased to 0.97. Conclusion The SD-OCT is an appropriate tool to determine the exact localization of the site of damage and for follow-up examination in solar retinopathy. In the acute phase it shows a disruption of the continuity of all layers in the foveola. Despite good recovery of visual acuity a small central defect of the ellipsoid zone remains in the long term.

Item Type: Article
Uncontrolled Keywords: OPTICAL COHERENCE TOMOGRAPHY; INDUCED RETINAL INJURY; PHOTIC INJURY; METHYLPREDNISOLONE; OCT; MACULOPATHY; THERAPY; DAMAGE; Solar retinopathy; Optical coherence tomography; Visual loss; Macula; Corticosteroid treatment
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Augenheilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 12:58
Last Modified: 14 Feb 2019 13:05
URI: https://pred.uni-regensburg.de/id/eprint/121

Actions (login required)

View Item View Item