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2015, № 12 (187)



Gurko T.S THE ANALYSIS OF THE PATIENTS WITH RETINAL PHOTO DAMAGE FOLLOWED SOLAR ECLIPSEAfter the solar eclipse, the patients consult the ophthalmological centers about "a spot", blurring, distortion of the objects, visual acuity reduction. 11 patients, mean age 24.7 years old, diagnosed as "solar maculopathy" consulted our hospital after looking at the solar eclipse without any protective means on the 20th of March 2015. All patients underwent the routine ophthalmological examination including the optical coherence tomography. Pattern-ERG was performed to one patient. When contacting the mean visual acuity was 0.86. Subjectively all patients complained of the positive microscotoma that was not detected in perimetry but was noted when reading and was fixed on the Amsler's grid. Computed perimetry at 30.20 was not peculiar. The lamellar defect in one eye was observed in all patients using optical coherence tomography. The paper presented the clinical case with pattern-ERG registration in 3 months after the solar eclipse. The the P50-N95 amplitude increase of the affected eye was noted, which pointed to the retinal ganglion cells irritation. During the secondary examination in 2.5 months, the pattern-ERG values were within normal limits. As a result of the aforesaid it is recommended to avoid the influence of the direct sun rays without any protective means. The basis of the solar maculopathy is optical coherence tomography. The pattern-ERG alterations demand further investigation.Key words: solar maculopathy, retinal photodamage, solar eclipse.

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About this article

Author: Gurko T.S.

Year: 2015


Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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