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Related Experiment Video

Updated: Apr 6, 2026

Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards

Electroretinogram Recording for Infants and Children under Anesthesia to Achieve Optimal Dark Adaptation and International Standards

Published on: September 3, 2020

Solar retinopathy in children.

Emily Gregory-Roberts¹, Ye Chen², C Alex Harper²

¹Royal Victorian Eye and Ear Hospital, Australia; Royal Children's Hospital, Victoria, Australia.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|August 5, 2015

Summary

Children viewing the sun can develop solar retinopathy, causing persistent retinal damage. Spectral domain optical coherence tomography (SD-OCT) reveals foveal pathology even with normal visual acuity.

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Area of Science:

Ophthalmology
Pediatric Ophthalmology
Retinal Imaging

Background:

Solar retinopathy is a rare condition caused by direct sun viewing.
Pediatric solar retinopathy is less understood than adult cases.

Observation:

A case series of 3 children (5 eyes) with solar retinopathy following sun viewing events.
Patients underwent visual acuity testing, fundus examination, and spectral domain optical coherence tomography (SD-OCT).

Findings:

SD-OCT identified foveal pathology in all affected eyes, irrespective of visual acuity.
Photoreceptor ellipsoid and interdigitation zones were disrupted in all eyes.
Outer nuclear layer and external limiting membrane disruptions correlated with decreased visual acuity and resolved over time.
Ellipsoid and interdigitation zone abnormalities persisted in some eyes at 3-5 months follow-up, despite good visual acuity.

Implications:

Solar retinopathy in children can lead to persistent retinal damage.
SD-OCT is crucial for detecting subtle foveal damage in pediatric solar retinopathy.
Long-term visual consequences may exist even with apparent visual recovery.