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BMJ Case Rep. 2014 May 15;2014. pii: bcr2013202220. doi: 10.1136/bcr-2013-202220.

Three-dimensional spectral domain optical coherence tomography in chronic exposure to welding arc.

Author information

1
Department of Ophthalmology, CSM Medical University, Lucknow, Uttar Pradesh, India.
2
Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India.
3
Department of Ophthalmology, Pallas Klinik, Olten, Switzerland.

Abstract

Three-dimensional spectral domain optical coherence tomography was performed in a 26-year-old man with chronic exposure to welding arc. Advanced macular visualisation provided significant findings of inner segment-ellipsoid zone disruption with the presence of cystoid changes and hyper-reflective material in the area of disruption. The external limiting membrane was intact in both the eyes. C-scan retinal pigment epithelium fit map of the left eye revealed a well-delineated defect whereas the right eye showed a poorly delineated smaller defect. The hyper-reflective material can be hypothesised to originate from the disrupted photoreceptor layer. The hyper-reflective material was more evident in the left eye which could be correlated with more marked diminution of vision and a prominent yellow lesion at the fovea.

PMID:
24832707
PMCID:
PMC4025256
DOI:
10.1136/bcr-2013-202220
[Indexed for MEDLINE]
Free PMC Article
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