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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 469-471

Hyper-reflective track as an imaging biomarker for clinical improvement in photic retinopathy


Vitreoretina Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry, India

Correspondence Address:
Manavi D Sindal
Vitreoretina Services, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2357_21

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Photic damage occurs due to varied etiologies. In two cases presenting with acute onset symptoms, fundus exam in Case 1 (Welder's arc) showed foveal yellow spot in the left eye. In Case 2 (Solar eclipse), foveal yellow spot was noted bilaterally. Spectral domain Optical coherence tomography revealed disruption of ellipsoid zone and a hyperreflective track extending from outer to inner retina. This hyperreflective track resolved on follow-up and correlated with symptomatic improvement. The hyperreflective track possibly indicates acute photic damage to retina and can serve as a prognostic marker for clinical improvement.


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