Solar maculopathy: prognosis over one year follow up

• Published in: BMC ophthalmology Vol. 19; no. 1; p. 201
• Main Authors: Abdellah, Marwa Mahmoud, Mostafa, Engy Mohammed, Anber, Mohamed Abdelatif, El Saman, Islam Saad, Eldawla, Mohammed Ezz
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 18.09.2019; BioMed Central; BMC
• Subjects: Acuity; Adolescent; Adult; Angiography; Child; Development and progression; Diagnosis; Eclipse maculopathy; Eye; Fluorescein; Fluorescein Angiography; Follow-Up Studies; Foveal lesions from sun rays; Health aspects; Humans; Medical prognosis; Outer retinal hole; Patient outcomes; Prognosis; Prospective Studies; Radiation Injuries - diagnosis; Radiation Injuries - etiology; Radiation Injuries - physiopathology; Refraction, Ocular - physiology; Retina; Retina - physiopathology; Retina - radiation effects; Retinal diseases; Retinal Diseases - diagnosis; Retinal Diseases - etiology; Retinal Diseases - physiopathology; Retinopathy; Risk factors; Solar maculopathy; Sunlight; Sunlight - adverse effects; Tomography; Tomography, Optical Coherence; Ultraviolet radiation; Visual Acuity - physiology; Young Adult; Egypt; Eclipse maculopathy; Outer retinal hole; Solar maculopathy; Foveal lesions from sun rays
• ISSN: 1471-2415; 1471-2415
• DOI: 10.1186/s12886-019-1199-6

To document the visual acuity, spectral domain optical coherence tomography (SD-OCT) findings and prognosis in10 eyes of 6 patients with foveal damage from solar retinopathy in 1 year. This was a prospective, observational case series of patients presented by solar maculopathy at Ophthalmology department, Sohag University. All patients underwent visual acuity (VA) testing, refraction, dilated fundus examination fluorescein angiography (FA) and SD-OCT (spectral Domain ocular coherence Tomography) imaging and follow up for 1 year. The mean age was 16.5 years (range 9-27 years, both eyes are affected in 4 patients. The mean spherical equivalent (SE) was - 0.25 ± 0.50 D. The visual acuity of the affected eyes ranged from 0.4 to 0.9 on presentation. At presentation Significant foveal pathology was identified on SD-OCT in 10 eyes, All eyes showed disruption of the photoreceptor ellipsoid zone and the interdigitation zone on SD-OCT, Follow up of the cases continued for 1 year.100% of cases showed improvement in VA: 20% eyes regained 1, 50% eyes with VA of 0.9; two eyes 20% 0.8 and one eyes (10%) with 0.4. The improvement began after 1 week and reached its maximum and became stationary after the 6th month of follow up, the outer retinal hole persist in OCT in 80% of cases. Solar maculopathy has a good prognosis yet shows no improvement after 6 months. Young age might pose as a risk factor.