Solar retinopathy: the yellow dot and the rising sun

Description

A 62-year-old Indian male presented with complaints of minimally blurred vision in both eyes since 3–4 months. He was a known case of essential hypertension. On ocular examination, best corrected visual acuity was 20/40 in both eyes with a +4D spherical correction. Anterior segment evaluation revealed immature senile cataract with normal intraocular pressures. On fundus examination, a discrete yellow dot was noted at the fovea of both eyes (right > left), along with features of early hypertensive retinopathy (figure 1). He was diagnosed to have outer lamellar macular hole in both eyes. Spectral-domain optical coherence tomography (OCT) revealed hyporeflective space in outer retina at the foveal centre of both eyes (right > left) (figure 2). A diagnosis of solar retinopathy was considered and on leading questions, he gave a history of performing religious rituals involving direct gazing into the rising sun soon after dawn for 5–10 min...

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