Maculopatía solar y lesiones del iris autoinducidas en paciente psicótico

  1. N. Ruiz-del-Río 1
  2. M. Moriche-Carretero 1
  3. I. Ortega-Canales 1
  4. R. Revilla-Amores 1
  5. JM. Peralta-Calvo 1
  1. 1 Hospital Universitario La Paz. Madrid. España
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2006

Volume: 81

Issue: 3

Pages: 165-168

Type: Article

DOI: 10.4321/S0365-66912006000300009 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

Case report: A 37-year-old psychotic patient inflicted injuries to his skin and eyes in the context of an interpretational delirium with aesthetic content. He used magnifying glasses to concentrate sunlight and suffered burns to his arms and face. In the eyes, these resulted in massive iridial atrophy with loss of the sphincteric function, photic maculopathy and peripheral retinal coagulation. The macular lesion resolved spontaneously although he did not recover visual acuity. Discussion: This is the first reported case of ocular self-injury secondary to sunlight. It is also the first case reporting retinal photo-coagulative lesions secondary to sunlight.

Bibliographic References

  • Stokkermans, TJ, Dunbar, MT. (1998). Solar retinopathy in a hospital-based primary care clinic. J Am Optom Assoc. 69. 625-636
  • Clarke, AM, Behrendt, T. (1972). Solar retinitis and pupillary reaction. Am J Ophthalmol. 73. 700-703
  • Wong, SC, Eke, T, Ziakas, NG. (2001). Eclipse burns: a prospective study of solar retinopathy following the 1999 solar eclipse. Lancet. 357. 199-200
  • Rai, N, Thuladar, L, Brandt, F, Arden, GB, Berninger, TA. (1998). Solar retinopathy: A study from Nepal and from Germany. Doc Ophthalmol. 95. 99-108
  • Hope-Ross, MW, Mahon, GJ, Gardiner, TA, Archer, DB. Ultrastructural findings in solar retinopathy.
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