K S. Amruthavalli, Dr. Madhurima K Nayak, Dr. (Mrs) Shobha G Pai, Dr. (Mrs) Sumana J Kamath
Introduction: Solar retinopathy is a clinical entity of macular damage induced by a photochemical change caused by viewing sun or bright light. Materials and methods: A 24 year old man presented to the outpatient department with a sudden diminution of vision in both eyes after sun gazing as a part of a game. On examination visual acuity in both eyes was 6/6p, N6. Amsler grid testing showed a central scotoma. Anterior segment was normal, fundus showed areas of yellow central macular reflex in both eyes. Results: An optical coherence tomography of the macula demonstrated area of atrophy in retinal pigment epithelium, photoreceptors and the outer retinal segments in the fovea confirming the diagnosis of solar retinopathy. The young man was followed up for 2 months and his scotomata disappeared spontaneously. Conclusion: It has a favorable prognosis and visual loss is reversible in most of the cases with no specific treatment. Mainstay of treatment is education and prevention.