Citation:Yoon CK,Park KH,Woo SJ.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,doi:10.18240/ijo.2020.01.16
Unilateral foveomacular retinitis resembling solar retinopathy among young soldiers in Korean army and associated multimodal imaging findings
Received:September 20, 2019  Revised:November 05, 2019
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DOI:10.18240/ijo.2020.01.16
Key Words:foveomacular retinitis  Korean  multimodal  imaging  solar retinopathy  soldiers  unilateral
Fund Project: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).
        
AuthorInstitution
Chang Ki Yoon Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea; Department of Ophthalmology, Hallym University College of Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul 07441, Korea
Kyu Hyung Park Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea
Se Joon Woo Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea
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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.

PMC FullText Html:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942940/
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