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A case of severe solar retinopathy Shimmin Hayashi 1 , Liju Hayashi 1 , Keiko Abe 1 , Makoto Chikuda 1 1Dept of Ophthalmol, Dokkyo Univ Sch of Med, Koshigaya Hosp pp.1145-1149
Published Date 1999/6/15
DOI https://doi.org/10.11477/mf.1410906409
  • Abstract
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A 31-year-old female noted metamorphopsia in her left eye after prolonged reading in the beach in a clear day. Fundus hemorrhage was detected the next day. When seen by us one month later, the corrected visual acuity was 0.6 left. Funduscopy showed a yellowish gray spot in the fovea surrounded by retinal and subretinal hemorrhage and by white spots simulating those after photocoagulation. A serous detachment of retinal pigment epithelium was present including these areas. We diagnosed the condition as solar retinopathy. Her right eye showed normal findings. Fluorescein angiography showed dye leakage posterior to the neuroepithelium and hyperfluorescence from the foveal spot. Observation with monochromatic light with the wavelength of 780 nm showed a higher reflectibility in the foveal spot. These findings indicated that the affected lesion was located in the retinal pigment epithelium and the choroid.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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