title: Optical coherence tomography and autofluorescence findings in chronic phototoxic maculopathy secondary to snow-reflected solar radiation.
abstract: A professional mountain trekker presented with gradual, moderate visual decline in one eye. The subnormal vision could not be explained by the examination of anterior and posterior segment of either eye, which was unremarkable. Optical coherence tomography and autofluorescence imaging revealed subtle defects in the outer retina, which correlated with the extent of visual disturbance. A novel presentation of retinal phototoxicity due to indirect solar radiation reflected from snow in inadequately protected eyes of a chronically exposed subject is reported.
authors.affiliation: This study was performed at Retina-Vitreous Service, Aravind Eye Care System, Madurai, Tamil Nadu, India.
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Shukla
mesh_terms: D002908:Chronic Disease; D005451:Fluorescein Angiography / Q000379:methods*; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000473:pathology* / Q000528:radiation effects; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology; D012914:Snow; D041623:Tomography, Optical Coherence / Q000379:methods*; D014466:Ultraviolet Rays / Q000009:adverse effects*; D014792:Visual Acuity