日食引起的视网膜病变1例报告

Biswas Shally
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摘要

目的:报告1例日蚀性视网膜病变。病例报告:2019年12月26日日食期间,一名19岁男性患者在直射太阳10-15分钟后出现双侧中心暗斑,并于4天内就诊于吉大港眼科医院和训练中心。经全面检查,他的体格和身高在他的年龄是正常的。经眼科检查,双眼BCVA为6/9。裂隙灯镜检显示双眼角膜清晰。两只眼睛的瞳孔都是圆的、规则的、有反应的。两只眼睛的晶状体都很清晰。眼底检查发现双眼中央凹处有离散的黄色病变。光学相干断层扫描显示双眼视网膜色素上皮缺损。对患者进行保守治疗,定期随访,并就谨慎的视力预后进行咨询。结论:直接观测日食会对眼睛造成永久性损伤,因此应鼓励公众提高对危险的认识。
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Solar Eclipse Induced Retinopathy: A Case Report
Purpose: To report a case of solar eclipse induced retinopathy. Case Report: A 19 years old male presented to Chittagong Eye Infirmary and Training Complex with a 4-day history of bilateral central scotoma following 10-15 minutes of direct sun-gazing during the solar eclipse on 26th December 2019. On general examination, he was of normal built and height for his age. Upon ocular examination, his BCVA was 6/9 in both eyes. Slit-lamp microscopic examination showed clear cornea in both eyes. Pupils of both eyes were round, regular and reacting. Lens was clear in both eyes. Fundus examination revealed discrete yellow lesions at the fovea of both eyes. Optical coherence tomography scanning showed corresponding retinal pigment epithelial defects in both eyes. The patient was managed conservatively with regular follow-up and counseling was done regarding guarded visual prognosis. Conclusion: Observing a solar eclipse directly can cause permanent eye damage hence public awareness of the dangers should be encouraged.
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