THE BELGIAN OPHTHALMIC ASSOCIATIONS
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Deze abstract is toegekend aan sessie AOB Poster session 1 - Glaucoma – Posterior segment/Retinal disease
| Titel | Bilateral macular chorioretinal atrophy after electrical injury with a long-term progression |
| Abstract Nr. | 1024 |
| Doel | To report a late development with a long-term progression of a bilateral macular chorioretinal atrophy in a patient after an accidental electrical injury |
| Methodes | A 40-year-old man presented a bilateral loss of vision soon after severe full body electrical injury (11 000 Volts). The follow-up during seven years includes full ophthalmological work up with Visual Field (VF), Fluoangiography(FA), macular OCT, Visual Evoked Potential(VEP), full field and multifocal ERG. |
| Resultaten | At presentation, BCVA was 8/10 RE and 2/10 LE (Snellen chart). The fundus was normal RE and shows a foveal cyst LE. At 19 months follow-up, the BCVA was progressively reduced to 2/10 RE and 1/10 LE. Ophthalmoscopy and macular SD-OCT were reported to be unremarkable in both eyes. But, visual field presented severe central defects in both eyes. VEP suggests a normal response of the optic nerve but a reduction of macular response. At 5 years follow up, BCVA remained to 2/10 RE and less than 1/20 LE. A bilateral pigmented macular chorioretinal atrophy developed, with a more extensive lesion in LE. Macular SD-OCT confirms atrophic scars nearly the fovea in both eyes in association with reduced response at multifocal ERG. At 7 years follow up, visual acuity continued to deteriorate to 1/10 RE and less than 1/20 LE. Fundus and macular SD-OCT showed a progression of pigmented chorioretinal atrophy. |
| Conclusie | Our clinical case presented a bilateral macular chorioretinal atrophy after electrical injury. Onset of loss of vision appeared soon after the injury, but macular scars developed about 4 years later, and visual loss continue to progress until 7 years of follow-up. |
| Belangenverstrengeling | Nee |
Auteur 1
| Naam | CLABOTS |
| Initialen | T |
| Instituut | Cliniques Universitaires Saint Luc |
| Stad | Bruxelles |
Auteur 2
| Naam | FORTUNATI |
| Initialen | M |
| Instituut | Cliniques Universitaires Saint Luc |
| Stad | Bruxelles |
Auteur 3
| Naam | BOSCHI |
| Initialen | A |
| Instituut | Cliniques Universitaires Saint Luc |
| Stad | Bruxelles |