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An Unusual Case of Solar Retinopathy
Peter N. Steinkamp, MS;
Robert C. Watzke, MD;
Jonathan D. Solomon, MD
Portland, Ore
Arch Ophthalmol. 2003;121:1798.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 53-YEAR-OLD man with type 2 diabetes mellitus complaining of decreased vision was referred to our clinic. His best-corrected visual acuity was 20/40 OD and 20/30 OS. His history was remarkable for habitual cocaine use and prolonged, direct viewing of the sun. For example, he recalled staring at the rising sun for approximately 1 hour each morning, at least 2 days per week, during a 3-year period. He stated that after several observations, he could perceive the corona surrounding the sun.
Our clinical examination revealed bilateral, symmetrical retinal pigment epithelial defects with a normal retina-vitreous interface. On Watzke/Allen testing, the patient described an interrupted streak in both eyes. Color fundus photographs were obtained (Figure 1). Examination by optical coherence tomography showed no evidence of macular holes. In both foveae, there was a sharply edged attenuation and . . . [Full Text of this Article] COMMENT
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