Adaptive Optics Imaging in Laser Pointer Maculopathy

Ophthalmic Surg Lasers Imaging Retina. 2016 Aug 1;47(8):782-5. doi: 10.3928/23258160-20160808-14.


The authors report multimodal imaging including adaptive optics scanning laser ophthalmoscopy (AOSLO) (Apaeros retinal image system AOSLO prototype; Boston Micromachines Corporation, Boston, MA) in a case of previously diagnosed unilateral acute idiopathic maculopathy (UAIM) that demonstrated features of laser pointer maculopathy. The authors also show the adaptive optics images of a laser pointer maculopathy case previously reported. A 15-year-old girl was referred for the evaluation of a maculopathy suspected to be UAIM. The authors reviewed the patient's history and obtained fluorescein angiography, autofluorescence, optical coherence tomography, infrared reflectance, and AOSLO. The time course of disease and clinical examination did not fit with UAIM, but the linear pattern of lesions was suspicious for self-inflicted laser pointer injury. This was confirmed on subsequent questioning of the patient. The presence of linear lesions in the macula that are best highlighted with multimodal imaging techniques should alert the physician to the possibility of laser pointer injury. AOSLO further characterizes photoreceptor damage in this condition. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:782-785.].

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Eye Injuries / complications
  • Eye Injuries / diagnosis*
  • Eye Injuries / physiopathology
  • Female
  • Fluorescein Angiography / instrumentation
  • Fundus Oculi
  • Humans
  • Lasers / adverse effects*
  • Multimodal Imaging / instrumentation*
  • Ophthalmoscopy / methods
  • Optics and Photonics*
  • Retina / diagnostic imaging*
  • Retina / injuries
  • Retinal Diseases / diagnosis*
  • Retinal Diseases / etiology
  • Retinal Diseases / physiopathology
  • Tomography, Optical Coherence / instrumentation
  • Visual Acuity*