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Ophthalmology and Visual Sciences

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Laser Pointer Maculopathy

Contributor: Kristina Damisch, M2
Faculty Sponsor:
Alison Bozung, OD

April 19, 2017

This is a 16-year-old male who suffered a laser pointer injury to his right eye and subsequently found that he had a small central area of "blackness" that made it difficult to read. On fundus exam, the right eye showed a small, depigmented, circular defect just temporal to the center of the fovea. OCT showed a small cavitation at this location with IS/OS disruption. The Amsler grid was normal for the left eye but demonstrated a small central scotoma in the right eye. The exam was otherwise normal including 20/20 vision OU.

On one month follow-up, Amsler grid testing demonstrated a reduced scotoma size, and the patient reported that he notices the deficit less. The visible lesion near the fovea had healed somewhat and appeared smaller on OCT and fundus exam.

2 days after injury:

The Amsler grid was normal for the left eye but demonstrated a small central scotoma in the right eye. The exam was otherwise normal including 20/20 vision OU. On fundus exam, the right eye showed a small, depigmented, circular defect just temporal to the center of the fovea

OCT showed a small cavitation at this location with IS/OS disruption


One month after injury:

Amsler grid test one month after injury Fundus photo one month after injury

OCT one month after injury

**higher resolution images not available

 


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last updated: 04/19/2017
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