Quiz Challenge December(iii)
Case Study: 16 yo male with acute central scotoma after sighting some natural phenomenon with friends
Dr Daniel Chiu
Diagnosis ?
Click for answer.
Answer: bilateral solar maculopathy (photic fovea burn)
Comment: this is a set of early photo taken few days after patient attempting to watch solar eclipse directly. Similar finding can be seen in deliberate or inadvertent self-harm by laser (often high power device purchased on Ebay from overseas). The “tongue” of juxtafoveal hyperreflective changes rising from the RPE traversing into the Henle’s layer is a classic give-away OCT sign within 1-2 weeks of the event.