Unilateral foveomacular retinitis resembling solar retinopathy among young soldiers in Korean army and associated multimodal imaging findings
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Se Joon Woo. Department of Ophthalmology, Seoul National University Bundang Hospital, #82, Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Korea. sejoon1@snu.ac.kr

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Supported by the National Research Foundation of Korea (No.2016R1D1A1B03934724) funded by the Korean government (Ministry of Science, ICT and Future Planning; MSIP); Seoul National University Bundang Hospital (No.02-2017-059).

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    Abstract:

    AIM: To describe the clinical features and multimodal images of unilateral foveomacular retinitis in young Korean soldiers. METHODS: Ten patients having foveomacular retinitis were included. Fluorescein angiography, fundus autofluorescence (FAF), infrared reflectance (IR), and spectral-domain optical coherence tomography (SD-OCT) were analyzed. RESULTS: All patients were young males experienced insidious visual decline without exposure to bright light. Initial and final vision ranged from hand movement to 20/20 (median 20/200) and 20/2000 to 20/20 (median 20/500), respectively. Vision decreased in 6 patients while improved in two. Typical macular abnormality was yellow granular spots. SD-OCT showed ellipsoid zone (EZ) or interdigitation zone (IZ) disruption of fovea. The degree of EZ/IZ damage correlated with vision. Lesions were clearly visualized through IR and matched with SD-OCT findings. CONCLUSION: This is the first case series of foveomacular retinitis diagnosed with multimodal imaging. Foveomacular retinitis should be suspected in sudden unilateral visual decline especially in young soldiers. SD-OCT is the most important diagnostic modality.

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Chang Ki Yoon, Kyu Hyung Park, Se Joon Woo. Unilateral foveomacular retinitis resembling solar retinopathy among young soldiers in Korean army and associated multimodal imaging findings. Int J Ophthalmol, 2020,13(1):112-119

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Publication History
  • Received:September 20,2019
  • Revised:November 05,2019
  • Adopted:
  • Online: December 27,2019
  • Published: