Differential diagnosis of solar maculopathy and congenital cone dystrophy: a clinical case
https://doi.org/10.21516/2072-0076-2023-16-2-135-139
Abstract
The main symptoms of solar maculopathy are central visual acuity decrease, the onset of central scotoma, photophobia, metamorphopsia and dyschromatopsia. In the acute period, the ophthalmoscopic picture of the disease requires a differential diagnosis with hereditary cone retinal dystrophies. An objective differentiation of these diseases is possible by fluorescein angiography, electrooculography, and optical coherence tomography of the retina. The paper presents a clinical case of solar maculopathy with an analysis of differential diagnostics used.
About the Authors
I. E. Ioshin
Ophthalmology Center, Clinical Hospital of the Office of Presidential Affairs of the Russian Federation
Russian Federation
Russian Federation
Igor E. Ioshin, Dr. of Med. Sci., professor, head of the center,
45, Losinoostrovskaya St., Moscow, 107150
D. A. Merkushenkova
Ophthalmology Center, Clinical Hospital of the Office of Presidential Affairs of the Russian Federation
Russian Federation
Russian Federation
Darya A. Merkushenkova, Cand. of Med. Sci., ophthalmologist,
45, Losinoostrovskaya St., Moscow, 107150
References
1. Pomytkina N.V., Zhirov A.L., Sorokin E.L. Atypical clinical case of solar retinopathy. Vestnik oftal’mologii. 2017; 2: 99–103 (In Russ.). https://doi.org/10.17116/oftalma2017133299-103.
2. Akhmetshin R.F., Abdulaeva E.A., Bulgar S.N. Solar maculopathy. Results of five-year observations. Kazanskiy meditsinskiy zhurnal. 2013; 94 (6): 901–3 (In Russ.).
3. Abdellah MM, Mostafa EM, Anber MA, Saman ES, Eldawla ME. Solar maculopathy: prognosis over one year follow up. BMC Ophthalmol. 2019; 19 (1): 201. https://doi.org/10.1186/s12886-019-1199-6
4. Hope-Ross MW, Mahon GJ, Gardiner TA, et al. Ultrastructural findings in solar retinopathy. Eye. 1993; 7: 29–33. https://doi.org/10.1038/eye.1993.7
5. Wu J, Seregard S, Algvere PV. Photochemical damage of the retina. Surv. Ophthalmol. 2006; 51: 461–81. https://doi.org/10.1016/j.survophthal.2006.06.009
6. Yang X, Shao D, Ding X, et al. Chronic phototoxic maculopathy caused by welding arc in occupational welders. Can. J. Ophthalmol. 2012; 47: 45–50. https://doi.org/10.1016/j.jcjo.2011.12.001
7. Gorge R, Costa R, Quirino L. Optical findings in patients with late solar retinopathy. Am J Ophthalmol. 2004; 137: 1139–42. https://doi.org/10.1016/j.ajo.2003.12.033
8. Chen KC, Jung JJ, Aizman A. Solar retinopathy: Etiology, diagnosis and treatment. Retinal Physician. 2013; 10: 46–50. https://www.retinalphysician.com/issues/2013/october-2013/solar-retinopathy-etiology,-diagnosis,-andtreatm
9. Mosin I.M., Khatsenko I.E., Korkh N.L. et al. Retinal photodamage in children: results of optical coherence tomography, psychophysical and electrophysiological studies in acute and longterm periods. Oftal'mokhirurgiya. 2009; 6: 28–33 (In Russ.).
10. Kanski Dzh. Clinical ophthalmology: a systematic approach. Moscow: Logosphera; 2009 (In Russ.).
11. Ditmar S., Kholts F.G. Fluorescent angiography in ophthalmology. Atlas. Moscow: GEOTAR-Media; 2011 (In Russ.).
12. Lumbroso B., Khuang D., Chen Ch.D., et al. OCT angiography. Clinical atlas. Moscow: Izdatelstvo Panfilova; 2017 (In Russ.).
13. Jaine A, Desai R, Charalel R, et al. Solar retinopathy: comparison of optical coherence tomography (OCT) and fluorescein angiography (FA). Retina. 2009; 29: 1340–45. https://doi.org/10.1097/iae.0b013e3181b0da88
14. Zolnikova I.V., Rogatina E.V., Egorova I.V. Electroretinographic and morphometric symptoms of cone dysfunction. Vestnik novykh meditsinskikh tekhnologiy. 2011; 2: 406–9 (In Russ.).
Review
For citations:
Ioshin I.E., Merkushenkova D.A. Differential diagnosis of solar maculopathy and congenital cone dystrophy: a clinical case. Russian Ophthalmological Journal. 2023;16(2):135-139. (In Russ.) https://doi.org/10.21516/2072-0076-2023-16-2-135-139
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