Linking Foveomacular Retinitis & Sudden Unilateral Visual decline in Young Korean Soldiers

Research Paper Title

Unilateral foveomacular retinitis resembling solar retinopathy among young soldiers in Korean army and associated multimodal imaging findings.

Background

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 analysed.

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 visualised through IR and matched with SD-OCT findings.

Conclusions

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.

Reference

Yoon, C.K., Park, K.H. & Woo, S.J. (2020) Unilateral foveomacular retinitis resembling solar retinopathy among young soldiers in Korean army and associated multimodal imaging findings. International Journal of Ophthalmology. 13(1):112-119. doi: 10.18240/ijo.2020.01.16. eCollection 2020.

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