Unusual optical coherence tomography and fundus autofluorescence findings of eclipse retinopathy
This 63-year-old woman watched an eclipse on 7/22/2009. She gazed at the sun directly without adequate eye protection for about 10 minutes. Blurred vision in the left eye developed thereafter. She visited our outpatient clinic 2 days later. On presentation, her best-corrected visual acuity (BCVA) was 20/30 in the left eye. There was no afferent pupillary defect. Anterior chamber and vitreous cavity showed no inflammation. Fundoscopy revealed wrinkled surface and grayish discoloration in a left macula []. FA and indocyanine green angiography were the unremarkable. Fundus autofluorescence (FAF, excitation 488 nm, emission 500 nm) showed hyperfluorescence in the left foveola []. Optical coherence tomography (OCT) showed mild foveal elevation []. Epimacular membrane developed after one month []. Her BCVA dropped to 20/40.\nSutureless vitrectomy with membrane peeling was performed uneventfully after 4 months of observation. Her BCVA improved dramatically to 20/20 three weeks after the operation. Fundus appeared normal. FAF showed resolution of previous autofluorescent lesion []. OCT also revealed no more epimacular membrane [].