MULTIMODAL IMAGING OF PHOTIC MACULOPATHY FROM ARC WELDING.
MULTIMODAL IMAGING OF PHOTIC MACULOPATHY FROM ARC WELDING.
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DOI:
10.1097/icb.0000000000000823
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发表时间:
2021-07-01
影响因子:
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通讯作者:
Bhavsar KV
中科院分区:
文献类型:
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作者:
Park DW;Alonzo B;Faridi A;Bhavsar KV
Serial multimodal imaging including spectral-domain optical coherence tomography (SD-OCT) in acute stage welder’s maculopathy is described. The evolution of lesions from this specific type of photic injury is characterized to enable prompt diagnosis and early intervention to reduce recurrent exposure. Photic retinal toxicity induced by exposure to arc welding can lead to irreversible vision loss. Serial multimodal imaging is characterized in a patient with outer retinal damage secondary to welder’s maculopathy. A single case was retrospectively reviewed. Spectral-domain optical coherence tomography (SD-OCT) acutely revealed disruption of the ellipsoid zone, hyper-reflective bands through the outer nuclear layer, and outer retinal cavitation consistent with phototoxicity. Subsequently, disruption and hypertrophy of the subfoveal retinal pigment epithelium (RPE) developed. Autofluoresence depicted central hypo-autofluorescence. We report serial multimodal imaging in welder’s maculopathy to better characterize the evolution of lesions. Multimodal imaging including SD-OCT in arc welding phototoxicity may share features with other forms of phototoxicity such as hand-held laser maculopathy.