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Solar retinopathy in a patient with bipolar affective disorder
  1. D S Devadason1,
  2. S Mahmood1,
  3. P E Stanga1,
  4. P N Bishop2
  1. 1Manchester Royal Eye Hospital, Manchester, UK
  2. 2Academic Unit of Eye and Vision Science, The Medical School, University of Manchester, UK
  1. Correspondence to: P N Bishop Academic Department of Ophthalmology, Manchester Royal Eye Hospital, Oxford Road, Manchester M13 9WH, UK; paul.bishop{at}manchester.ac.uk

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The commonest cause of solar retinopathy is direct viewing of a solar eclipse.1 Other associations include sun gazing during religious rituals, drug or alcohol intoxication, and mental illness.2,,3 However, it may not be considered in the absence of a history of sun gazing. We report an unusual case of solar retinopathy in a patient with bipolar affective disorder and demonstrate the value of optical coherence tomography in aiding the diagnosis in cases of unexplained visual loss in patients with mental illness.

Case report

A 45 year old woman presented complaining of a gradual deterioration in vision over 3 years. Past medical history included hypothyroidism and bipolar affective disorder treated with antidepressant and antipsychotic medication.

Presenting visual acuities were 6/12 in the right eye and 6/9 …

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