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Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy
PURPOSE: To report the clinical course of solar retinopathy after steroid therapy. CASE PRESENTATION: A 45-year-old male gazed at the sun and noticed bilateral central scotoma and decreased vision after the episode. After 7 weeks from onset, ophthalmic examinations were firstly performed. Decimal be...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016157/ https://www.ncbi.nlm.nih.gov/pubmed/29992070 http://dx.doi.org/10.1155/2018/7850467 |
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author | Nakamura, Masaki Komatsu, Koji Katagiri, Satoshi Hayashi, Takaaki Nakano, Tadashi |
author_facet | Nakamura, Masaki Komatsu, Koji Katagiri, Satoshi Hayashi, Takaaki Nakano, Tadashi |
author_sort | Nakamura, Masaki |
collection | PubMed |
description | PURPOSE: To report the clinical course of solar retinopathy after steroid therapy. CASE PRESENTATION: A 45-year-old male gazed at the sun and noticed bilateral central scotoma and decreased vision after the episode. After 7 weeks from onset, ophthalmic examinations were firstly performed. Decimal best corrected visual acuity (BCVA) was decreased to 0.8 and 0.7 in the right and left eyes. Funduscopy showed a tiny, yellowish spot in the fovea bilaterally. Corresponding to the lesion, optical coherence tomography (OCT) images showed an elevated and blurred ellipsoid zone and loss of the interdigitation zone. A posterior sub-Tenon triamcinolone injection in the right eye and oral prednisolone therapy were performed as a medication. BCVA was improved to 1.2 and 1.0 in the right and left eyes at 9 weeks after medication. OCT images showed ellipsoid zone was gradually improved bilaterally, which became nearly normal at 4 weeks in the right eye and at 21 weeks in the left eye. The loss of the interdigitation zone remained at 12 weeks in the right eye and at 21 weeks at the left eye. CONCLUSIONS: We described a case with solar retinopathy who exhibited anatomical recovery of the photoreceptor outer layers by steroid therapy, started after 7 weeks from onset. |
format | Online Article Text |
id | pubmed-6016157 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-60161572018-07-10 Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy Nakamura, Masaki Komatsu, Koji Katagiri, Satoshi Hayashi, Takaaki Nakano, Tadashi Case Rep Ophthalmol Med Case Report PURPOSE: To report the clinical course of solar retinopathy after steroid therapy. CASE PRESENTATION: A 45-year-old male gazed at the sun and noticed bilateral central scotoma and decreased vision after the episode. After 7 weeks from onset, ophthalmic examinations were firstly performed. Decimal best corrected visual acuity (BCVA) was decreased to 0.8 and 0.7 in the right and left eyes. Funduscopy showed a tiny, yellowish spot in the fovea bilaterally. Corresponding to the lesion, optical coherence tomography (OCT) images showed an elevated and blurred ellipsoid zone and loss of the interdigitation zone. A posterior sub-Tenon triamcinolone injection in the right eye and oral prednisolone therapy were performed as a medication. BCVA was improved to 1.2 and 1.0 in the right and left eyes at 9 weeks after medication. OCT images showed ellipsoid zone was gradually improved bilaterally, which became nearly normal at 4 weeks in the right eye and at 21 weeks in the left eye. The loss of the interdigitation zone remained at 12 weeks in the right eye and at 21 weeks at the left eye. CONCLUSIONS: We described a case with solar retinopathy who exhibited anatomical recovery of the photoreceptor outer layers by steroid therapy, started after 7 weeks from onset. Hindawi 2018-06-11 /pmc/articles/PMC6016157/ /pubmed/29992070 http://dx.doi.org/10.1155/2018/7850467 Text en Copyright © 2018 Masaki Nakamura et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nakamura, Masaki Komatsu, Koji Katagiri, Satoshi Hayashi, Takaaki Nakano, Tadashi Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy |
title | Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy |
title_full | Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy |
title_fullStr | Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy |
title_full_unstemmed | Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy |
title_short | Reconstruction of Photoreceptor Outer Layers after Steroid Therapy in Solar Retinopathy |
title_sort | reconstruction of photoreceptor outer layers after steroid therapy in solar retinopathy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016157/ https://www.ncbi.nlm.nih.gov/pubmed/29992070 http://dx.doi.org/10.1155/2018/7850467 |
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