Skip to main content
  • Blink

    Can You Guess June's Mystery Condition?

    Download PDF

    Make your diagnosis in the comments, and look for the answer in next month’s Blink.

    June 2022 Blink


    Last Month’s Blink

    Solar Retinopathy Secondary to Medical Misinformation

    Written by Arjun Bhatt, BA, Brody School of Medicine, Greenville, N.C., and Janice C. Law, MD, Vanderbilt Eye Institute, Nashville, Tenn. Photo by Melissa Davis, BA, Brody School Of Medicine, Greenville, N.C.

    May 2022 Blink

    A man in his early 30s was referred to our clinic’s retina specialist by his optometrist. He presented with 20/40 vision bi-laterally, severe myopia, central mac­ular lesions, and lattice degeneration with atrophic scarring. The patient reported having stared directly into the sun for multiple minutes on several occasions, forcing his eyes open with his fingers. Initially, he said that this intense visual stimulation resulted in a religious experience, and he expressed intentions to con­tinue. Upon further interviewing, he revealed his primary motivation for this practice: One of his parents had retinitis pigmentosa. Despite a normal exam, the patient’s fear of having a similar fate led him to investigate purportedly preventive mea­sures. The patient found misinformation online suggesting that this condition could be avoided through “sungazing.” He had completed three “eye strengthening treatments,” corresponding to the three clearly visible central macular lesions. At that time, he said that he intended to continue this practice until his vision improved.

    Clinical management focused on patient education, which included developing trust and a strong therapeutic physician-patient relation­ship to uncover and address the emotional root of the patient’s fear. This approach was ultimately effective. Seven years later, the patient has had no additional solar-associated damage.

    Read your colleagues’ discussion.

    BLINK SUBMISSIONS: Send us your ophthalmic image and its explanation in 150-250 words. E-mail to, fax to 415-561-8575, or mail to EyeNet Magazine, 655 Beach Street, San Francisco, CA 94109. Please note that EyeNet reserves the right to edit Blink submissions.