Foveo-macular retinitis, solar retinopathy, and trauma.

Macular Microholes

“…7 Solar burns, either purposely inflicted or secondary to recreational drug use, psychiatric disease, or eclipse viewing, resemble foveal microholes. 8 The posterior lamellar cysts seen by OCT in this study are similar to those reported in solar maculopathy. 9,10 Although it is conceivable that some of the lesions we studied may have been due to phototoxicity, all of our patients denied direct sun gazing.…”

“…Trauma can result in lesions of the type seen in our patients. Direct blunt trauma to the eye, 8 whiplash injuries from automobile accidents, 12,13 and head trauma 1 have all been associated with lesions of similar appearance. In three of our patients, it is possible that trauma may have played a role.…”

Macular microholes: pathogenesis and natural history

“…[5][6][7][8] Solar retinopathy however, is a well recognised clinical entity with a characteristic appearance and clinical course. RPE changes have been demonstrated on FA 5 and on histopathology.…”

Posterior Segment Manifestations of Closed-Globe Contusion Injury

“…Identical lesions have been described after blunt trauma and in solar retinopathy. 60,138 The foveolar pit is thought to result from the selective destruction of central photoreceptors, although the exact mechanism remains unknown. 138 No treatment has been shown to be effective.…”