Brilliant sense
Introduction
Introduction The main symptoms of solar retinal choroidal burns are initially glare. Mainly caused by the short infrared rays and visible light through the refractive interstitial tortuous points, the heat generated by the retinal choroidal burns, more common in the naked eye to observe the eclipse. Young people and face-to-face are more common, while those with high myopia are rare. It is also related to the nature of the solar eclipse, the season, the time, and the weather. Initially for the sense of glare, followed by shame, light illusion and abnormal color vision (red, yellow, blue), after 24 hours, the floating shadow becomes a dense dark spot, which can be a temporary or permanent central dark spot.
Cause
Cause
The cause of glare:
Mainly caused by the short infrared rays and visible light through the refractive interstitial tortuous points, the heat generated by the retinal choroidal burns, more common in the naked eye to observe the eclipse. Young people and face-to-face are more common, while those with high myopia are rare. It is also related to the nature of the solar eclipse, the season, the time, and the weather.
Examine
an examination
Related inspection
Eye and sacral area CT examination ophthalmologic examination
Inspection and diagnosis of glare:
The main symptoms of solar retinal choroidal burns are initially glare, followed by shame, illusion of light and color vision (red, yellow, blue). After 24 hours, the floating shadow becomes a dense dark spot, which can be temporary or permanent. Dark center of sex. Vision decreased to below 0.5-0.1. And there is distortion of the object. Fundus examination: the lesion is limited to the macular area, the color of the macular part of the light is darkened; the edema of the light is bulging, gray, with small bleeding points. The typical macular fovea has yellow and white small points, surrounding the pigment spots, and severe perforation can be formed. , retinal detachment, etc.
Diagnosis
Differential diagnosis
Symptoms of glare:
1. Corneal epithelial injury: corneal epithelial abrasion, the patient's vision loss, obvious pain, fear of light and tears, fluorescein staining in the epithelial defect area, if the infection occurs, corneal ulcer may occur.
For corneal epithelial abrasions, it can be coated with antibiotic eye ointment to promote epithelial healing. If the edema of the corneal stroma is opaque, corticosteroids may be applied locally, and if necessary, a mydriatic agent. The corneal laceration should be surgically sutured and treated according to the corneal perforation.
2. Central serous chorioretinopathy: central serous chorioretinopathy, more common in young and middle-aged men, mostly monocular, with self-healing and recurrence tendencies. Unexplained causes, mental stress, emotional agitation, infection, allergies, choroidal venous drainage disorders, and thermal regulation failure can all contribute to central serous chorioretinopathy.
The main symptoms of solar retinal choroidal burns are initially glare, followed by shame, illusion of light and color vision (red, yellow, blue). After 24 hours, the floating shadow becomes a dense dark spot, which can be temporary or permanent. Dark center of sex. Vision decreased to below 0.5-0.1. And there is distortion of the object. Fundus examination: the lesion is limited to the macular area, the color of the macular part of the light is darkened; the edema of the light is bulging, gray, with small bleeding points. The typical macular fovea has yellow and white small points, surrounding the pigment spots, and severe perforation can be formed. , retinal detachment, etc.
