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Multimodal imaging in a case of self-inflicted laser-induced maculopathy

Abstract

Purpose

To describe the clinical and imaging findings in a case of self-inflicted handheld laser exposure.

Methods

We evaluated multimodal imaging including fundus autofluorescence, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography, and indocyanine green angiography for a 32-year-old man with a history of repetitive self-inflicted handheld laser exposure.

Results

Funduscopic examination revealed bilateral and asymmetric yellow macular linear streaks with a vertical pattern in the superior macula. Curvilinear bands of dense hyperreflectivity extending from the ellipsoid zone of the photoreceptors and ending at the level of the outer plexiform layer were seen on SD-OCT immediately after injury. After intravenous high-dose corticosteroids during 3 days, the lesions decreased slightly.

Conclusions

The recognition of characteristic self-inflicted handheld laser-induced lesions is paramount as laser pointer misuse has been increasing over the years.

Eur J Ophthalmol 2016; 26(6): e155 - e157

Article Type: CASE REPORT

DOI:10.5301/ejo.5000825

Authors

France Combillet, Valentine Saunier, Marie Bénédicte Rougier, Marie Noëlle Delyfer, Jean-Francois Korobelnik

Article History

Disclosures

Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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Authors

Affiliations

  • Department of Ophthalmology, CHU de Bordeaux, Bordeaux - France
  • University of Bordeaux, ISPED, Bordeaux - France
  • Inserm, U1219 Bordeaux Population Health Research Center, F-33000, Bordeaux - France

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