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: Leigh Ann R. Acedillo, MD, Patrick A. Santiago, MD, DPBO, FPCS, FPAO, MHM
Format: Article
Language:English
Published: Philippine Academy of Ophthalmology 2024-12-01
Series:Philippine Journal of Ophthalmology
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Online Access:https://paojournal.com/index.php/pjo/article/view/527
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author Leigh Ann R. Acedillo, MD
Patrick A. Santiago, MD, DPBO, FPCS, FPAO, MHM
author_facet Leigh Ann R. Acedillo, MD
Patrick A. Santiago, MD, DPBO, FPCS, FPAO, MHM
author_sort Leigh Ann R. Acedillo, MD
collection DOAJ
description 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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spelling doaj-art-e48f0a1ed7ba441592af0e9668baa4082025-08-20T02:05:07ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592024-12-01492168170527Solar Retinopathy from Religious Sun Gazing: A Case ReportLeigh Ann R. Acedillo, MD0Patrick A. Santiago, MD, DPBO, FPCS, FPAO, MHM1Department of Ophthalmology, Far Eastern University – Nicanor Reyes Medical Foundation, Quezon CityDepartment of Ophthalmology, Far Eastern University – Nicanor Reyes Medical Foundation, Quezon CityObjective: 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.https://paojournal.com/index.php/pjo/article/view/527solar retinopathysolar maculopathyeclipse retinopathyfoveomacular retinitissun gazing
spellingShingle Leigh Ann R. Acedillo, MD
Patrick A. Santiago, MD, DPBO, FPCS, FPAO, MHM
Solar Retinopathy from Religious Sun Gazing: A Case Report
Philippine Journal of Ophthalmology
solar retinopathy
solar maculopathy
eclipse retinopathy
foveomacular retinitis
sun gazing
title Solar Retinopathy from Religious Sun Gazing: A Case Report
title_full Solar Retinopathy from Religious Sun Gazing: A Case Report
title_fullStr Solar Retinopathy from Religious Sun Gazing: A Case Report
title_full_unstemmed Solar Retinopathy from Religious Sun Gazing: A Case Report
title_short Solar Retinopathy from Religious Sun Gazing: A Case Report
title_sort solar retinopathy from religious sun gazing a case report
topic solar retinopathy
solar maculopathy
eclipse retinopathy
foveomacular retinitis
sun gazing
url https://paojournal.com/index.php/pjo/article/view/527
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