TY - JOUR
T1 - Retinal injury from handheld lasers
T2 - a review
AU - Bhavsar, Kavita V.
AU - Michel, Zachary
AU - Greenwald, Miles
AU - Cunningham, Emmett T.
AU - Freund, K. Bailey
N1 - Funding Information:
Supported by unrestricted departmental funding from Research to Prevent Blindness (New York, NY) and by grant P30 EY010572 from the National Institutes of Health (Bethesda, MD). Dr. Bhavsar receives financial support from the Portland VA Healthcare System. Dr. Freund is a consultant to Optos, Allergan , Novartis , Optovue , Bayer , Zeiss , and Heidelberg Engineering and receives research support from Genentech / Roche . The authors do not have any relevant conflicts of interest.
Funding Information:
Supported by unrestricted departmental funding from Research to Prevent Blindness (New York, NY) and by grant P30 EY010572 from the National Institutes of Health (Bethesda, MD). Dr. Bhavsar receives financial support from the Portland VA Healthcare System. Dr. Freund is a consultant to Optos, Allergan, Novartis, Optovue, Bayer, Zeiss, and Heidelberg Engineering and receives research support from Genentech/Roche. The authors do not have any relevant conflicts of interest.
Publisher Copyright:
© 2020
PY - 2021/3/1
Y1 - 2021/3/1
N2 - Retinal photic injury induced by handheld lasers is a burgeoning public health concern due to the wider accessibility of high-powered devices. Retinal damage from thermal energy can cause potentially severe and permanent vision loss in children and young adults who are particularly vulnerable because of comorbid behavioral, learning, and psychiatric impairments. Understanding the spectrum of specific clinical and imaging features of such laser injuries aids in prompt and accurate diagnosis. Multimodal retinal imaging is important for the identification of the outer retinal abnormalities that characterize this condition. We reviewed 171 reported cases in the English and non-English language literature published from 1999, when handheld laser injury was first described, to December, 2018. Risk factors, demographic and clinical characteristics, as well as multimodal imaging findings, were collected and summarized. These findings both provide insights for public health awareness and guide areas of future investigation.
AB - Retinal photic injury induced by handheld lasers is a burgeoning public health concern due to the wider accessibility of high-powered devices. Retinal damage from thermal energy can cause potentially severe and permanent vision loss in children and young adults who are particularly vulnerable because of comorbid behavioral, learning, and psychiatric impairments. Understanding the spectrum of specific clinical and imaging features of such laser injuries aids in prompt and accurate diagnosis. Multimodal retinal imaging is important for the identification of the outer retinal abnormalities that characterize this condition. We reviewed 171 reported cases in the English and non-English language literature published from 1999, when handheld laser injury was first described, to December, 2018. Risk factors, demographic and clinical characteristics, as well as multimodal imaging findings, were collected and summarized. These findings both provide insights for public health awareness and guide areas of future investigation.
KW - handheld laser maculopathy
KW - optical coherence tomography
KW - retinal imaging
KW - retinal laser injury
KW - retinal phototoxicity
UR - http://www.scopus.com/inward/record.url?scp=85089862109&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089862109&partnerID=8YFLogxK
U2 - 10.1016/j.survophthal.2020.06.006
DO - 10.1016/j.survophthal.2020.06.006
M3 - Review article
C2 - 32628946
AN - SCOPUS:85089862109
SN - 0039-6257
VL - 66
SP - 231
EP - 260
JO - Survey of Ophthalmology
JF - Survey of Ophthalmology
IS - 2
ER -