Solar Eclipse Maculopathy
A 36-year-old man noticed spots in the central vision of both eyes five days after watching a partial solar eclipse. His bilateral uncorrected visual acuity (UCVA) was 20/30. A dilated fundus exam showed a yellow spot in each fovea.
Optical coherence tomography (OCT) imaging of his right and left eyes (Figs. 1A and 1B, respectively) revealed a full-thickness, hyperreflective vertical band (arrow) in the fovea of both eyes. The man was diagnosed with solar eclipse maculopathy. No treatment was recommended.
At three-month follow-up, the patient continued to complain of poor quality of vision. His UCVA was 20/25 bilaterally. Although his clinical exam had normalized, OCT image of his right and left eyes (Fig. 2A and 2B, respectively) showed focal subfoveal outer retinal defects. Specifically, there was a clear discontinuity of the inner segment–outer segment junction (arrow) in the fovea of both eyes.
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