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Documenta Ophthalmologica

, Volume 95, Issue 2, pp 99–108 | Cite as

Solar retinopathy

  • N. Rai
  • L. Thuladar
  • Felix Brandt
  • G.B. Arden
  • Thomas A. Berninger
Article

Abstract

319 patients with a solar retinopathy were seen in an eye clinic in Nepal within 20 months. All patients had either a positive history of sun-gazing or typical circumscribed scars in the foveal area. In more than 80% of the patients the visual acuity was 6/12 or better and did not deteriorate over time. 126 (40%) patients had a history of gazing at the sun during an eclipse, 33 (10%) were sun worshipers and 4 (1%) were in both categories. Three years later 29 patients were re-examined in a follow-up study. Only 16 had had visual disturbances directly after they had gazed into the sun. No colour vision defects were seen in any of the 44 affected eyes, when tested with Panel D 15, while four patients (6 eyes) had some uncertainty with the tritan plates of the Ishihara test charts. Metamorphopsia were recorded in 11 eyes. Five German patients with solar retinopathy were examined in more detail. Colour contrast sensitivity (CCS) was tested for the central and the peripheral visual field. CCS for tritan axis was raised in all patients for the central visual field, while it was normal for the peripheral visual field.

colour vision eclipse burn religious rituals solar retinopathy sun-gazing 

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References

  1. 1.
    Wittenberg, S. Solar radiation and the eye: a review of knowledge relevated to eye care. Am. J. Optom. Physiol. Opt. 1986;63/8: 676–689.PubMedGoogle Scholar
  2. 2.
    Rosen E. Solar retinitis. Brit. J. Ophthal. 1948; 32: 23–27Google Scholar
  3. 3.
    Agarwal LP, Malik SRK. Solar retinitis. Brit. J. Ophthal. 1959; 42:366–341.Google Scholar
  4. 4.
    Gupta RB, Mehra KS. Solar retinitis. J. Indian Assoc. 1964: 43: 368–373.Google Scholar
  5. 5.
    Hope-Ross M, Travers S, Mooney D. Solar retinopathy following religious rituals. Br. J. Ophthalmol. 1988; 72/12: 931–934.PubMedGoogle Scholar
  6. 6.
    Santoro S, Micelli-Ferrari T, Pellechia GM, Lavermicocca N. Solar retinopathy. Clin. Ocul. Pathol. Ocul. 1990; 11/2: 129–132.Google Scholar
  7. 7.
    Schatz H, Mendelblatt F. Solar retinopathy from sun gazing under the influence of LSD. Brit. J. Ophthal. 1973; 57: 270–273.PubMedGoogle Scholar
  8. 8.
    Anaclerio AM, Wicker HS. Self-induced retinopathy by patients in a psychiatric hospital. Am. J. Ophthalmol. 1970; 69: 69:731–735.PubMedGoogle Scholar
  9. 9.
    Arden GB, Gündüz K, Perry S. Colour vision testing with a computer graphics system. Clin. Vis. Sci. 1988; 12: 303–321.Google Scholar
  10. 10.
    Gunduz K. Arden GB. Changes in colour contrast sensitivity associated with operating argon lasers. Br. J. Ophthalmol. 1989; 73:241–246.PubMedGoogle Scholar
  11. 11.
    Hatfield E. Eye injuries and eclipse. Sight saving. 1979; 40: 79–83.Google Scholar
  12. 12.
    Ham WT, Mueller JJR, Ruffolo JJ, Guerry RK. Solar retinopathy as a function of wavelength: Its significance for protective eyewear, in the effects of constant light on visual processes. In Williams TP, Baker BN (eds.). Plenum Press, New York, 1980: 319–346.Google Scholar
  13. 13.
    Ham WT, Mueller JJR, DuPont GIll, Guerry RK. Action spectrum for retinal injury from near-ultraviolet radiation in the aphakic monkey. Am. J. Ophthalmol.1982; 93: 299–306.PubMedGoogle Scholar
  14. 14.
    Tso MOM, La Piana. The human fovea after sun-gazing. Trans Amer. Acad. Ophthal. Otolaryng. 1975; 75: 788–795.Google Scholar
  15. 15.
    Fried M, Wessing A. Solar Makulopathie und ähnliche foveamakulare Veränderungen. Ber. Dtsch. Ophthalmol.Ges. 1981; 78: 579–582.Google Scholar
  16. 16.
    Abebe MT, De Laey JJ. Foveomacular retinitis as a result of ocular contusion. Bull. Soc. Belge. Ophthalmol. 1992; 243: 171–175.Google Scholar
  17. 17.
    Gärtner J. Long-term follow-up of an ophthalmologist's central serous retinopathy, photocoagulated by sun-gazing. Doc. Ophthal. 1987; 66/1: 19–33.CrossRefGoogle Scholar
  18. 18.
    Atamca LS, Idil A, Can D. Early and late visual prognosis in solar retinopathy. Graefe's Arch. Chin. Exp. Ophthalmol. 1995; 233/12: 801–804.Google Scholar
  19. 19.
    Hope-Ross MW, Mahon GJ, Gardiner TA, Archer DB. Ultrastrucutural findings in solar retinopathy. Eye, 1993, 7 (Pt.l) 29–33.PubMedGoogle Scholar
  20. 20.
    Dhir SP, Gupta A, Jam, IS. Eclipse retinopathy. Brit. J. Ophthalmol. 1981; 65: 42–45.Google Scholar
  21. 21.
    Berninger TA, Caninng CR, Gunduz K, Strong, N Arden GB. Using argon laser blue light reduces ophthalmologists colour contrast sensitivity. Arch. Ophthalmol. 1989; 107: 1453–1458.PubMedGoogle Scholar
  22. 22.
    Sadun AC, Sadun AA, Sadun LA. Solar retinopathy: A biophysical analysis. Arch. Ophthalmol. 1984; 102/10: 1510–1512.PubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1998

Authors and Affiliations

  • N. Rai
    • 1
  • L. Thuladar
    • 2
  • Felix Brandt
    • 3
  • G.B. Arden
    • 4
  • Thomas A. Berninger
    • 5
  1. 1.Kathmandu Lens ClinicKathmanduNepal
  2. 2.Blue Star HotelKathmanduNepal
  3. 3.NeuöttingGermany
  4. 4.Applied Vision Research CenterCity UniversityLondonUK
  5. 5.University Eye HospitalMünchenGermany

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