Optical coherence tomography in late solar retinopathy

Abstract

Introduction. Solar retinopathy refers to retinal injury induced by direct or indirect solar viewing. Case report. We presented a patient who had observed partial solar eclipse 51 year before. He had bilaterally decreased vision and scar of the macular region at the time of presentation. The basic diagnostic tool applied in the presented patient, optical coherence tomography, showed hyporeflexivity of the outer retina in the segment of retinal pigment epithelialphotoreceptors complex with atrophy and thinning of the foveolar region. Conclusion. Optical coherence tomography is a powerful, non-invasive diagnostic tool which can ease the diagnosis and estimate the level and nature of the macular region damage.Uvod. Solarna retinopatija predstavlja ostecenje retine uzrokovano direktnim ili indirektnim gledanjem u sunce. Prikaz bolesnika. Prikazan je bolesnik koji je 51 godinu nakon posmatranja delimicnog pomracenja sunca ispoljio obostrano smanjenje vidne ostrine i oziljne promene makularne regije. Bazicno dijagnosticko orudje primenjeno kod prikazanog bolesnika, opticka koherentna tomografija, pokazala je hiporefleksiju spoljasnje retine u nivou retinalnog pigmentnog epitela-fotoreceptornog kompleksa sa izrazitom atrofijom i istanjenjem fovealne regije. Zakljucak. Opticka koherentna tomografija predstavlja mocno, neinvazivno dijagnosticko orudje koje moze olaksati dijagnozu i procenu stepena i prirode ostecenja makule kod solarne retinopatije.