6533b7d8fe1ef96bd126a4f2

RESEARCH PRODUCT

Bilateral maculopathy after exposure to a laser pointer: Optical coherence tomography angiography findings.

P. Bayo-calduchP. Neira-ibáñezR. Clemente-tomásA. Gargallo-benedictoAntonio Duch-samper

subject

AdultMalemedicine.medical_specialtyVisual acuitygenetic structuresRetinal Pigment Epitheliumlaw.invention03 medical and health scienceschemistry.chemical_compound0302 clinical medicineEye InjuriesOptical coherence tomographylawOphthalmologymedicineHumansMacula LuteaFluorescein AngiographyRetinal pigment epitheliummedicine.diagnostic_testbusiness.industryChoroidCystsLasersRetinalGeneral MedicineOptical coherence tomography angiographymedicine.diseaseLasereye diseasesmedicine.anatomical_structurechemistry030221 ophthalmology & optometryLaser pointerMaculopathysense organsmedicine.symptomEmergenciesbusiness030217 neurology & neurosurgeryTomography Optical Coherence

description

Abstract Case report A 36-year-old man went to the emergency department the day after exposure to a laser pointer. Funduscopy revealed dispersed macular pigment alterations, and optical coherence tomography showed a disruption of the retinal layers. The visual acuity was counting fingers in both eyes. Nine months later, optical coherence tomography angiography showed a rarefaction in the choriocapillaris vascular flow in the area of the laser injuries. Discussion The retinal layer mainly damaged by the laser injury was the retinal pigment epithelium. However, it is suggested that the laser injury could involve tissues beyond the retinal pigment epithelium, since a rarefaction of the choriocapillaris was found after exposure to the laser.

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