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

Jin Young Kwon; Jong Hyun Jung; Do Gyun Kim

doi:10.3341/jkos.2015.56.12.1974

Journal List > J Korean Ophthalmol Soc > v.56(12) > 1010181

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Kwon, Jung, and Kim: A Case of Acute Bilateral Solar Retinopathy Diagnosed with Spectral Domain Optical Coherence Tomography

Original Article

J Korean Ophthalmol Soc 2015;56(12):1974-1979.

Published online: 29 August 2015

DOI: https://doi.org/10.3341/jkos.2015.56.12.1974

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

Jin Young Kwon, M.D, Jong Hyun Jung, M.D, Do Gyun Kim, M.D, PhD

Department of Ophthalmology, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea

Address reprint requests to Do Gyun Kim, MD, PhD Department of Ophthalmology, Myongji Hospital, #55 Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 10475, Korea Tel: 82-31-810-6250, Fax: 82-31-810-0500 E-mail: kimdk89@empal.com

Received 23 July 20154 September 2015 Accepted 11 November 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 pa-tient 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 pa-tient 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 fluo-rescence 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.

Keywords: Acute bilateral solar retinopathy, Disruption, Patient’s medical history, Spectral domain optical coherence tomog-raphy (SD-OCT)

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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.

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