DR. A. BALRAJ

Dr.Dhakshini L.S, Dr.S.Sivaranjani

Abstract

We present three young patients with acute severe solar retinopathy after observation of the total eclipse without appropriate eye protection. All our patients were young (range 14–22 years). On examination visual acuity in 4 eyes was 6/9 and 2 eyes was 6/6p. Amsler grid testing showed central scotoma in 5 eyes . Fundus showed areas of hyperpigmentation in 5 eyes. Results: EDI OCT macula demonstrated area of hyperreflectivity noted subfoveally with Inner & Outer retinal segment photoreceptor disruption in the fovea confirming the diagnosis of solar retinopathy in 5 eyes. Conclusion: Mainstay of treatment is education and prevention.No specific therapy exists for solar retinopathy. Eclipse viewing should be discouraged unless there is use of protective eye wear. Public health education may reduce visual morbidity. Young age might pose as a risk factor. Visual prognosis is good and has been attributed to the resistance of foveal cone cells to photochemical damage.