Spectral domain optical coherence tomographic findings in Welder's maculopathy

This photo essay shows the spectral domain optical coherence tomographic (SD OCT) findings in Welder's maculopathy. A 34-year-old welder presented with metamorphopsia and a best-corrected visual acuity of 20/30 N8 in both eyes, respectively. Fundus examination showed absent foveal reflex and revealed orange-red spot surrounded by a pigmentary halo. The corresponding SD OCT showed a rectangular-shaped solitary hyporeflective space called the outer retinal hole. The hole extends from the inner layer of the retinal pigment epithelium to external limiting membrane, which in turn corresponds to inner segment/outer segment photo receptor junction (IS/OS). The straight edges of the hole and the top surface at the level of IS/OS junction line are lined by hyperreflective material. Central subfield thickness was 205 μm and 209 μm, respectively. SD OCT findings were similar to photic/solar maculopathy.