Solar Retinopathy from Religious Sun Gazing: A Case Report
Objective: To report a case of a 42-year-old male who developed bilateral solar retinopathy from two-decade history of religious sun gazing. Methods: This is a case report. Results: Patient presented with a visual acuity of 20/70 OD and 20/50 OS that improved with pinhole to 20/20. Amsler grid...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Philippine Academy of Ophthalmology
2024-12-01
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| Series: | Philippine Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://paojournal.com/index.php/pjo/article/view/527 |
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| Summary: | Objective: To report a case of a 42-year-old male who developed bilateral solar retinopathy from two-decade history of religious sun gazing.
Methods: This is a case report.
Results: Patient presented with a visual acuity of 20/70 OD and 20/50 OS that improved with pinhole to 20/20. Amsler grid testing revealed the presence of bilateral central scotoma. Fundus exam showed yellowwhite foveolar lesions in both eyes. Optical coherence tomography scan of the macula showed a gap in the retinal pigment epithelium line at the central fovea with generalized macular thinning in both eyes. These corresponded with window-defect hyperfluorescent dots in the foveal avascular zone on fluorescein angiography. These clinical findings and the history of sun gazing are consistent with solar retinopathy.
Conclusion: We report a rare case of a 42-year-old male with subtle findings solar retinopathy. Careful examination and high index of suspicion are needed for correct diagnosis. Avoiding direct sun-gazing, use of protective UV filters, and remote observation thru videography and the like are recommended. |
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| ISSN: | 0031-7659 |