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By Thomas A. Ciulla, MD, MBA, FASRS
Indiana University School of Medicine - Uploaded on Mar 7, 2015.
- Last modified by Thomas A. Ciulla, MD, MBA, FASRS on Mar 16, 2015.
- Rating
- Appears in
- delete
- Condition/keywords
- solar maculopathy, solar retinopathy
- Photographer
- Thomas Steele
- Imaging device
- Fundus camera
- Description
- A 50-year-old woman was referred for evaluation of a maculopathy. She had a history of hallucinations, and a siezure disorder. After examination, she admitted to repeatedly starring at the sun for long periods of time. Her visual acuities measured 20/20 and 20/30 right and left respectively. Macular examination revealed mild atrophy central on the right. On the left, macular examination revealed central pigment clumping with surrounding atrophy. OCT revealed focal RPE defect centrally. Angiography revealed staining centrally OD and blockage by the central pigment clumping with staining of surrounding atrophy OS only.
