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전투기 조종사에서 중력가속도 노출 후 발생한 중심장액맥락망막병증 1예

Central Serous Chorioretinopathy Following High G-force Exposure in a Fighter Pilot

대한안과학회지 2020년 61권 6호 p.690 ~ 693
임병수, 원재연,
소속 상세정보
임병수 ( Lim Byung-Su ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Ophthalmology
원재연 ( Won Jae-Yon ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Ophthalmology

Abstract


Purpose: To report a case of central serous chorioretinopathy (CSC) after high G-force exposure in a fighter pilot with rapid remission.

Case summary: A 28-year-old male patient was transferred from a local clinic with metamorphopsia in the left eye. His visual acuity was 20/20 in both eyes. Fundus examination of his left eye showed serous retinal detachment. Fluorescein angiography revealed leakage, which led to a diagnosis of CSC. As a fighter pilot, he had been exposed repeatedly to high g-forces before symptoms occurred. His flying was then stopped, and a follow-up examination was scheduled. After two weeks, a fundus examination showed resolution of the subretinal fluid.

Conclusions: CSC can develop after high g-force exposure, with a rapid clinical course. When making a CSC diagnosis, the physician should confirm potential causative environments by performing a thorough review of the patient’s occupational history and promptly terminate the likely causes.

키워드

Central serous chorioretinopathy; G-Force; Gravitation

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