This 32YO female with schizophrenia reported regular sun gazing every morning for many years. Vision was 20/40 OU.
Triton color imaging shows tiny foveal pigment loss. Swept-source OCT shows bilateral ellipsoid zone and outer segment defects.
Learning Points:
The outer retinal damage in solar retinopathy is thought to be caused by photochemical outer retinal and RPE damage instead of a thermal burn.
Vision is usually fairly good despite the outer retinal and RPE findings.
