Bilateral photic maculopathy following pterygium excision: Spectral domain optical coherence tomography findings

To report high resolution spectral domain optical coherence tomography (SD-OCT) findings in a case with bilateral photic maculopathy and resultant central scotoma following pterygium excision.
Case Report: A 38‑year‑old man with a history of pterygium excision complained of visual disturbance and annoying central scotoma in both eyes. Although he had subtle funduscopic and angiographic changes, SD‑OCT precisely showed disruption of the photoreceptors inner segment/outer segment in the foveal center.
Phototoxic macular damage following ocular surgeries may be diagnosed with difficulty due to subtle funduscopic findings. SD-OCT is a precise imaging in revealing characteristic retinal alterations in different foveal injuries. Ophthalmologists should be aware of the possibility of photic maculopathy following various ophthalmic operations including pterygium surgery.