Multimodal imaging in handheld laser-induced maculopathy

Kavita V. Bhavsar, Deanna Wilson, Ron Margolis, Peter Judson, Irene Barbazetto, K. Bailey Freund, Emmett T. Cunningham

Research output: Contribution to journalArticlepeer-review

45 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)227-231.e2
JournalAmerican journal of ophthalmology
Issue number2
StatePublished - Feb 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology


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