Spectral-domain optical coherence tomography findings in chronic solar retinopathy
A 66-year-old female was referred to our center with complaint of no improvement of visual acuity in the left-eye after cataract surgery, which was done 6 months back. Her best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/40 in the left eye, respectively. The anterior segment examination was normal in both the eyes. Dilated fundus examination was performed, which showed dull foveal reflex with RPE changes in her left fovea. Fundus examination of the right eye was unremarkable. Fluorescein angiography showed a minimal leak at fovea during late phase in the left eye. SD-OCT scan of the left eye demonstrated central foveal thinning along with two hypo-reflective vertical band showing disruption in outer- and inner-segment junction along with photo receptor damage []. When SD-OCT was acquired in 3D mode and magnified for image analysis in detail, retinal pigment epithelium (RPE) disruption was seen at left vertical hypo-reflective band []. Vitreoretinal interface was found to be normal in both the eyes. After assessment of SD-OCT findings, patient revealed exposure to solar eclipse with naked eyes few years back.