Macular angioplex and microperimetry in the management of bilateral solar maculopathy: case report
Author: Jorge Garcia (Mexico)
Co-authors: Alejandro Benitez, Samantha Salinas, Christian Ortiz
To report the clinical evolution and the morphological and visual changes by imaging studies in solar bilateral maculopathy.
Retina service, Ophthalmology Department of Centro Medico Nacional del Noreste # 25, Monterrey, Nuevo Leon, Mexico.
A 36-year-old female without comorbidities, was treated for bilateral central scotomas of sudden onset after a brief intense exposure to sunlight during a meditation session. Structural lesions where found in both eyes in the fovea by angioplex and Spectral Domain Tomographic (SD-OCT) and functional changes by microperimetry. The patient was treated with topical and oral steroids succesfully.
The best corrected visual acuity (BCVA) of the patient was reported from the beginning of care in 6/6 (logMAR 0) of both eyes with Snellen's chart. Never the less the patient always referred subjectively a central scotoma that progressively improved bilaterally. Campimetry with 10-2 strategy, was unable to document any campimetric alteration in both eyes. SD-OCT image identified an hyperreflective band lesion throughout the retinal fiber layer thickness of the fovea without involving the retinal pigment epithelium (RPE) in both eyes, which improved gradually throughout the follow-up. Resulting in loss of the ellipsoidal line in both eyes and an external macular hole in the left eye. With the macular angioplex and microperimetric examination, we could document mild structural lesions and microscotomas in both eyes.
In addition to tomography, macular angioplex and microperimetric fields are highly useful technologies for the diagnosis and follow-up of foveal lesions after sunlight exposure. It is necessary to carry out more series reports to corroborate the results found. The improvement in diffusion strategies for the general population in the prevention of solar retinopathy is of great importance.
The authors declare that they have no conflict of interest.
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