RESEARCH ARTICLE


High Definition Spectral Domain Optical Coherence Tomography Findings in Three Patients with Solar Retinopathy and Review of the Literature



Kevin C Chen1, Jesse J Jung 1, Alexander Aizman*, 1, 2
1 Department of Ophthalmology, New York University School of Medicine, New York, NY, USA
2 Einhorn Clinical Research Center, The New York Eye and Ear Infirmary, New York, NY, USA


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© Chen et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Ophthalmology, New York University School of Medicine, 4050 Nostrand Ave, Suite M1 Brooklyn, NY 11235, USA; Tel: 718-646-2025; Fax: 718-646-2024; Email: alaizman@aol.com


Abstract

Purpose:

To describe ocular findings in 3 cases of solar retinopathy using high definition, spectral domain optical coherence tomography (SD-OCT) and review the literature for optical coherence tomography (OCT) characteristics associated with worse vision.

Methods:

Case series and retrospective review of clinical features and Spectralis SD-OCT (Heidelberg Engineering, Vista, California, United States of America). A literature review of OCT findings in cases of solar retinopathy reported on MEDLINE was also performed and analyzed.

Results:

Six eyes of 3 patients with solar retinopathy revealed significant foveal pathology. Visual acuity ranged from Snellen 20/30 to 20/50. High definition SD-OCT demonstrated defects at the level of the inner and outer segment junction of the photoreceptors as well as in the inner high reflective layer. There was a significant correlation between chronic disruption of the inner photoreceptor junction with worse vision based on the current case series and literature review.

Conclusions:

Screening patients with exposure to central foveal damage from solar retinopathy with high definition SD-OCT improves diagnosis and assessment of photoreceptor damage and vision loss.

Keywords: Solar retinopathy, fovea, spectral domain optical coherence tomography, Spectralis SD-OCT.