Multimodal imaging in handheld laser-induced maculopathy

Am J Ophthalmol. 2015 Feb;159(2):227-31.e2. doi: 10.1016/j.ajo.2014.10.020. Epub 2014 Oct 22.


Purpose: To describe the clinical and imaging findings in 3 patients with maculopathy secondary to handheld laser exposure.

Design: Retrospective, observational case series.

Methods: We evaluated the multimodal imaging including fundus autofluorescence and spectral-domain optical coherence tomography (OCT) for 3 patients with histories of exposure to handheld lasers.

Results: An 18-year-old woman with a history of repetitive self-inflicted handheld laser exposure was found to have bilateral outer retinal streaks in the macula and the superior peripheral retina on both ophthalmoscopy and multimodal imaging. Initial spectral-domain OCT revealed vertical hyper-reflective bands at the level of the outer retina corresponding to the streaks. An 11-year-old boy who played with a green laser developed a yellow foveal lesion and outer retinal streaks in the superior macula. Spectral-domain OCT showed vertical hyper-reflective bands in the outer retina corresponding to the streaks. A 14-year-old boy developed bilateral focal foveal lesions and ellipsoid loss on spectral-domain OCT following peer-inflicted laser injury.

Conclusions: In a series of 3 patients, outer retinal streaks were associated with self-inflicted handheld laser injury. In contrast, accidental and peer-inflicted laser injuries were found to result in focal foveal lesions.

Publication types

  • Case Reports
  • Observational Study

MeSH terms

  • Adolescent
  • Child
  • Eye Injuries / diagnosis*
  • Eye Injuries / physiopathology
  • Female
  • Fluorescein Angiography
  • Humans
  • Lasers / adverse effects*
  • Male
  • Multimodal Imaging*
  • Ophthalmoscopy
  • Retina / injuries*
  • Retinal Diseases / diagnosis*
  • Retinal Diseases / physiopathology
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Visual Acuity / physiology