Home > OCT of the week > 17th April 2022
OCT cases

17th April 2022

This 35-year-old man attended eye casualty complaining of a sudden onset of central visual disturbance in both eyes.

Macular OCT scans: top right eye; bottom left eye

OCT revealed a discontinuity of the ellipsoid zone (photoreceptor layer) at the fovea of both eyes with some overlying hyperreflective material. On fundoscopy, these appeared as small yellow lesions at the fovea.

Colour photograph of right macula showing a small yellow lesion at the centre of the fovea
Colour photograph of left macula showing a small yellow lesion at the centre of the fovea

On direct questioning, this patient confirmed that he had used ‘poppers’ the night before. Poppers are volatile alkyl nitrite compounds that are inhaled to enhance sexual experience and for their psychoactive effects. They are most commonly used by gay men. ‘Poppers maculopathy’ has emerged following changes in the chemical composition of these ‘legal highs’.

This condition is self-limiting following cessation of popper use. More information can be found in this case series of patients seen at Sussex Eye Hospital.

Testimonials

YAG Laser