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.

A 38-year-old teacher was visited in our clinic complaining visual disturbance and annoying central scotoma in both eyes following pterygium excision.

Although he had subtle funduscopic and angiographic changes, SD-OCT precisely showed disruption of the photoreceptors inner segment/ outer segment in foveal center.

Operating microscope-induced retinopathy has been reported following various ophthalmic operations. Phototoxic macular damage following ocular operations could have subtle funduscopic finding which makes its diagnosis difficult. SD-OCT is a precise imaging in revealing characteristic retinal alterations in different foveal injuries. Ophthalmologists should be aware of possibility of photic maculopathy following various ocular operations including pterygium surgery.