# A Case of Solar Maculopathy Secondary to Reflected Sunlight During Garden Tiling

## TL;DR

A 64-year-old woman developed solar maculopathy from repeated exposure to reflected sunlight while gardening without sunglasses.

## Contribution

This case highlights solar maculopathy can occur from indirect sunlight exposure during routine outdoor activities.

## Key findings

- Fundus autofluorescence showed ring-shaped hyperfluorescent lesions around the fovea.
- Optical coherence tomography revealed disruption of the ellipsoid zones in the affected areas.
- The patient was diagnosed with solar maculopathy based on indirect sunlight exposure history.

## Abstract

Here, we present a rare case of solar maculopathy associated with repeated exposure to reflected sunlight without sunglasses during garden tiling. A 64-year-old woman presented with visual field defects during a comprehensive medical checkup and was referred to our hospital three years ago. She noticed mildly blurred vision and photophobia in both eyes. Fundus autofluorescence revealed ring-shaped hyperfluorescent lesions surrounding the fovea, and optical coherence tomography revealed disruption of the ellipsoid zones in the corresponding areas. Electroretinography showed no abnormalities, and the Goldmann visual field test showed mild enlargement of the Mariotte blind spot. She had engaged in gardening without wearing sunglasses for a month during the summer before her symptoms began. The patient was diagnosed with solar maculopathy on the basis of indirect sunlight exposure. As sunlight exposure is essential for diagnosing solar maculopathy, a detailed medical assessment is important for accurate diagnosis. This case may help raise awareness of the potential for solar maculopathy from indirect sunlight exposure during daily outdoor work.