Atypical clinical case of solar retinopathy

Pomytkina, N.V.; Zhirov, A.L.; Sorokin, T L

doi:10.17116/oftalma2017133299-103

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The OCT scans crossing the central fovea displayed a dot-shaped destruction of the IS/OS and photoreceptor outer segment layer with insubstantial deformation of adjacent retinal layers caused by detritus, which is close to our findings [17]. Pomytkina et al [18] reported a case of unintended retinal damage from reflected sunlight. In that case, a driver presented with complaints of abrupt loss of vision and a spot in his central vision in his left eye after accidentally looking at the sun ray reflected at the side-view mirror.…”

Section: Discussionsupporting

confidence: 90%

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Case Report: Solar retinopathy following exposure to reflected sunlight

Krivoruchko¹,

Drachenko²,

Drachenko³

et al. 2019

Oftalmol Zh

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Background: Radiation damage to the eye is most commonly caused by sunlight. Solar retinopathy is a form of retinal damage that occurs after exposure to solar radiation, with the most common symptoms being reduced vision and central scotoma. Purpose: To report a case of retinal damage following exposure to reflected sunlight with a favorable outcome. Materials and Methods: The patient underwent visual acuity, tonometry, ophthalmoscopy, optical coherence tomography (OCT), fundus photography and fluorescein angiography. Results: At six months after initiation of treatment, the patient reported that the white spot before his left eye decreased in size, and became transparent and practically unnoticeable to him. In solar retinopathy, the OCT appearance of retinal defect may vary, depending on the severity of damage, but provides evidence of destruction of the outer retinal layers. Conclusion: We reported a case of retinal damage following exposure to reflected sunlight with a favorable outcome. Follow-up OCT showed complete restoration of the affected retinal structures in one eye and the residual changes in the outer photoreceptor layer and RPE in the fellow eye. Therefore, solar retinopathy can occur with OCT evidence of retinal destruction following retinal damage from direct and/or reflected sunlight.

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Section: Discussionsupporting

confidence: 90%

“…The retinal OCT changes in the case reported by Pomytkina et al [18], however, were more apparent than in the case reported here.…”

Section: Discussioncontrasting

confidence: 77%

Case Report: Solar retinopathy following exposure to reflected sunlight

Krivoruchko¹,

Drachenko²,

Drachenko³

et al. 2019

Oftalmol Zh

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Differential diagnosis of solar maculopathy and congenital cone dystrophy: a clinical case

Иошин

Merkushenkova

2023

Rossijskij oftalʹmologičeskij žurnal

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The main symptoms of solar maculopathy are central visual acuity decrease, the onset of central scotoma, photophobia, metamorphopsia and dyschromatopsia. In the acute period, the ophthalmoscopic picture of the disease requires a differential diagnosis with hereditary cone retinal dystrophies. An objective differentiation of these diseases is possible by fluorescein angiography, electrooculography, and optical coherence tomography of the retina. The paper presents a clinical case of solar maculopathy with an analysis of differential diagnostics used.

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