Maculopatía solar bilateral en un paciente con trastorno bipolar
- J. Sánchez-Quirós 1
- O. Rodríguez-Quet 1
- D. Rego-Lorca 1
- M. Carrasco-Lopez-Brea 1
- E. Santos-Bueso 1
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1
Hospital Clínico San Carlos de Madrid
info
ISSN: 0365-6691
Année de publication: 2021
Volumen: 96
Número: 11
Pages: 611-614
Type: Article
D'autres publications dans: Archivos de la Sociedad Española de Oftalmologia
Résumé
A case of solar maculopathy is described in a 36-year-old man with a history of bipolar disorder. The patient reported directly looking at the sun for several hours in the setting of a bipolar disorder decompensation. The visual acuity was 0.3 in both eyes (BE). Intraocular pressure and anterior segment were normal. In the fundus exam, a peri-macular halo with loss of the foveolar reflex was observed in BE. The macular optical coherence tomography revealed a disruption of the ellipsoid line and the retinal pigment epithelium. Bilateral central defects were seen in the Humphrey 24-2 visual field. After 6 months of follow-up, the visual clinical picture remains stable with the same degree of visual acuity. Solar maculopathy is a disorder due to the phototoxic effects of radiation, which cause a decrease in visual acuity by disrupting the retinal photoreceptor layer.