PHOTIC RETINOPATHY CAUSED BY EXCESSIVE USE OF SMARTPHONE: REVIEW AND CASES SERIES REPORT

Essam Yahiya Al-Shamahi; Emad Hassan Al-Shamahi; Nawal Mohammed Al-Hababi; Nashwan Yahya A Al-Shamahi; Hassan Abdulwahab Al-Shamahy

doi:10.22270/ujpr.v10i2.1320

Essam Yahiya Al-Shamahi Opthalmology Department, Faculty of Medicine and Health Sciences, Sana’a University, Republic of Yemen.
Emad Hassan Al-Shamahi Opthalmology Department, Faculty of Medicine and Health Sciences, Sana’a University, Republic of Yemen.
Nawal Mohammed Al-Hababi Opthalmology Department, Faculty of Medicine and Health Sciences, Sana’a University, Republic of Yemen.
Nashwan Yahya A Al-Shamahi Medicine Department, Faculty of Medicine and Health Sciences, Sana’a University, Republic of Yemen.
Hassan Abdulwahab Al-Shamahy Medicine Department, Faculty of Medicine and Health Sciences, Sana’a University, Republic of Yemen. Department of Basic Sciences, Faculty of Dentistry, Sana’a University, Republic of Yemen.

10.22270/ujpr.v10i2.1320

Keywords:

Blue light, excessive use, photic retinopathy, smartphone, Yemen

Abstract

Damage to the retina, especially the macula, brought on by extended exposure to sunlight or other strong light sources like lasers or arc welding is known as photo retinopathy. The phrase is interchangeable with retinal phototoxicity and includes solar, laser, and welding retinopathy. Staring at the sun, observing a solar eclipse, or exposing oneself to UV light, Illuminant D65, or other strong light are the usual causes. Overuse of smartphones has recently been linked to incidences of blue light-induced photoretinopathy. Reversible vision loss from photo retinopathy usually lasts anywhere from a month to over a year. Fundus changes, which are variable and often bilateral. Although there is currently no proven treatment for photo retinopathy, it usually resolves on its own over time. A method that is sometimes tried but gives ambiguous results is the use of corticosteroids to treat early macular edema. A study of six patients aged 26-35 years visited the eye consultants Center in Sana’a city, Yemen, including 4 males and 2 females, found that they experienced binocular blurred vision for 5-7 days. All patients underwent corticosteroid treatment and reduced smartphone usage. Five cases achieved reversible recovery within few days to 2 months, while one case persisted over a year. All patients had normal anterior and posterior segments, no altered macular reflex, and no macula capillary network abnormalities with hypopigmentation dot at the centre of fovea. High-definition optical coherence tomography (OCT) discovered foveolar harm, which be similar to some cases of solar photic retinopathy. In conclusion this study suggests that prolonged exposure to phone screen light by excessive use increases the risk of foveal injury.