[Solar retinopathy. Rare cause of acute loss of vision].
METHODS
A 15-year-old girl was admitted to hospital for acute bilateral visual deterioration and central scotoma of two days' duration. It became known on the third day that she had looked into the sun on several occasions, for several minutes at a time.


METHODS
In addition to the scotoma there was a visual loss to 0.05 in the right and 0.1 in the left eye. Neurological examination and imaging of the head were unremarkable. At first the visual evoked potential was prolonged (122 ms on right, 130 ms on left), but all other electrophysiological tests were normal. Fundoscopy at first showed macular oedema and pigment changes in the macula.


METHODS
Local application of prednisolone (0.5 mg five times daily) gradually improved the vision and it returned to normal after 8 weeks. The initially prolonged visual evoked potential restored to normal either. No pathophysiological reason for this was found.


CONCLUSIONS
In case of acute loss of vision in the absence of other neurological findings, external factors should be considered in the differential diagnosis.
Weber
P
P
Kinderklinik, Universität Münster.
Kurlemann
G
G
Lunecke
C
C
Tondera
A
A
D000293:Adolescent; D001766:Blindness / Q000188:drug therapy / Q000209:etiology*; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004594:Electrophysiology; D005074:Evoked Potentials, Visual; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000473:pathology; D009460:Neurologic Examination; D009883:Ophthalmic Solutions; D010211:Papilledema / Q000209:etiology; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D011379:Prognosis; D011832:Radiation Injuries / Q000150:complications / Q000209:etiology*; D012164:Retinal Diseases / Q000150:complications / Q000209:etiology*; D012607:Scotoma / Q000209:etiology; D013472:Sunlight / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D009883:Ophthalmic Solutions; D011239:Prednisolone
Retinopathia solaris. Seltene Ursache des akuten Visusverlustes.