Optical coherence tomography findings in patients with late solar retinopathy.
OBJECTIVE
To investigate the morphologic appearance on optical coherence tomography (OCT) of the macula in patients with late solar retinopathy and its association with visual acuity.


METHODS
Observational case series.


METHODS
All patients with solar retinopathy evaluated between 1998 and 2003 at one institution were invited to participate in an ophthalmic evaluation.


RESULTS
In all four affected eyes of four patients, OCT demonstrated abnormal reflectivity at the outer foveal retina, such as fragmentation or interruption of the inner high reflective layer corresponding to the junction between the photoreceptor inner and outer segments. Involvement of the entire photoreceptor reflective layer at the fovea was observed in the patient with decreased visual acuity (20/60).


CONCLUSIONS
Optical coherence tomography demonstrated abnormalities in the outer foveal retina. The OCT findings suggest that decreased visual acuity may be associated with full-thickness involvement of the photoreceptors.
Jorge
Rodrigo
R
Retina and Vitreous Section, Ribeirão Preto School of Medicine, University of São Paulo, Brazil.
Costa
Rogério A
RA
Quirino
Luciana S
LS
Paques
Milla W
MW
Calucci
Daniela
D
Cardillo
José A
JA
Scott
Ingrid U
IU
D000293:Adolescent; D000328:Adult; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D006801:Humans; D020419:Photoreceptor Cells, Vertebrate / Q000473:pathology; D011832:Radiation Injuries / Q000175:diagnosis* / Q000209:etiology; D012160:Retina / Q000473:pathology* / Q000528:radiation effects*; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology; D012607:Scotoma / Q000175:diagnosis / Q000209:etiology; D013472:Sunlight / Q000009:adverse effects*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity