J.ophthalmol.(Ukraine).2018;2:61-66.

http://doi.org/10.31288/oftalmolzh201926166

Received: 05 February 2019; Published-online: 24 April 2019


Case Report: Solar retinopathy following exposure to reflected sunlight

A.S. Krivoruchko, Ophthalmologist; K.G. Drachenko, Senior Research Fellow; S.K. Drachenko, technician; A.R. Korol, Dr Sc (Med)

Filatov Institute of Eye Disease and Tissue Therapy;  Odesa (Ukraine)

E-mail: anastasiakrivoruchko2593@gmail.com

Background: Radiation damage to the eye is most commonly caused by sunlight. Solar retinopathy is a form of retinal damage that occurs after exposure to solar radiation, with the most common symptoms being reduced vision and central scotoma.

Purpose: To report a case of retinal damage following exposure to reflected sunlight with a favorable outcome.

Materials and Methods: The patient underwent visual acuity, tonometry, ophthalmoscopy, optical coherence tomography (OCT), fundus photography and fluorescein angiography.

Results: At six months after initiation of treatment, the patient reported that the white spot before his left eye decreased in size, and became transparent and practically unnoticeable to him. In solar retinopathy, the OCT appearance of retinal defect may vary, depending on the severity of damage, but provides evidence of destruction of the outer retinal layers.

Conclusion: We reported a case of retinal damage following exposure to reflected sunlight with a favorable outcome. Follow-up OCT showed complete restoration of the affected retinal structures in one eye and the residual changes in the outer photoreceptor layer and RPE in the fellow eye. Therefore, solar retinopathy can occur with OCT evidence of retinal destruction following retinal damage from direct and/or reflected sunlight.

Keywords: retina, photoreceptors, pigment epithelium, solar retinopathy, reflected sunlight

References

1.Schein OD. Phototoxicity and the cornea. J Natl Med Assoc. 1992 Jul;84(7):579–83.

2.Guly HR. Snow Blindness and Other Eye Problems During the Heroic Age of Antarctic Exploration. Wilderness Environ Med. 2012 Mar;23(1):77–82. 

Crossref   PubMed

3.Hope-Ross MW, Mahon GJ, Gardiner TA, et al. Ultrastructural findings in solar retinopathy. Eye (Lond). 1993;7 (Pt 1):29–33.

Crossref   PubMed

4.Gurko TS. [Analysis for patients with photic retinal damage following viewing of an eclipse]. Vestnik Orenburgskogo gosudarstvennogo universiteta. 2015;12:187. Russian.

5.Akhmetshin RF, Abdulaeva EA, Bulgar SN. [Solar maculopathy. Results of five years of follow-up]. Kazanskii meditsinskii zhurnal. 2013;94(6):901–3. Russian.

Crossref   

6.Bechmann M, Ehrt O, Thiel MJ,  et al. Optical coherence tomography findings in early solar retinopathy. Br J Ophthalmol. 2000;84:547–8.

Crossref   PubMed

7.Ibragimova NM, Bilandarli LSh. [Solar maculopathy and diagnostic value of OCT. Case report]. Oftalmologiya. 2010;2:80–2. Russian.

8.Vit VV. [The structure of the human visual system]. Odessa: Astroprint; 2003. p.664.

9.Pasyechnikova NV, Naumenko VA, Korol AR, Zadorozhnyy OS. [Infrared diagnostics in ophthalmology]. Odesa: TES; 2014. Russian.

10.Boettner EA, Wolter JR.Transmission of the ocular media. Invest Ophthalmol. 1962;1:776–83.

11.Pasyechnikova N, Naumenko V, Korol A,  Zadorozhnyy O. Digital imaging of the fundus with long-wave illumination. Klin oczna. 2009;111(1-3):18–20.

12.Tso MO, La Piana FG. The human fovea after sungazing. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1975 Nov-Dec;79(6):OP788–95.

13.Glickman RD. Ultraviolet phototoxicity to the retina. Eye Contact Lens. 2011 Jul;37(4):196–205. 

Crossref   PubMed

14.Michaelides M, Rajendram R, Marshall J, Keightley S. Eclipse retinopathy. Eye.  2001 Apr;15(Pt 2):148–51.

Crossref    PubMed

15.Likhvantseva VG, Ziangirova GG, Fedorenko AV, et al. [Investigating the efficacy of retinal repair through transplantation of cultured RPE (experimental study)]. Ufa: Vostok Zapad; 2011. p.245–-7. Russian.

16.Chen JC, Lee LR. Solar retinopathy and associated optical coherence tomography findings. Clin Exp Optom.  2004 Nov;87(6):390–3.

Crossref   PubMed   

17.Aznabaev BM, Mukhamadeev TR, Dibaev TI. [Optical coherence tomography + angiography of the eye]. Moscow: August Borg; 2015. Russian.

18.Pomytkina NV, Zhirov AL, Sorokin TL. [Atypical case of solar retinopathy]. Vestn Oftalmol. 2017;133(2):99-103. 

Crossref   PubMed  

The authors certify that they have no conflicts of interest in the subject matter or materials discussed in this manuscript.