Case #53 – Laser Pointer Maculopathy

Laser Pointer Maculopathy – Page 45 of 45

Suggested Readings1. Wong, Roger, Dawn Sim, Ranjan Ranjan Rajendram, and Geeta Menon. “Class 3A Laser Pointer Induced Retinal Damage Captured on Optical Coherence Tomography.” Acta Ophthalmologica Scandinavica 85.2 (2007): 227-28.2. Marshall. John, “The Saftey of Laser Pointers: Myths and Realities.” British Journal of Opthalmology 82 (1998): 1335-338.3. Robertson, Dennis M., MD. Jay W. McLauren, PhD,

Laser Pointer Maculopathy – Page 45 of 452021-12-01T16:31:32+00:00

Laser Pointer Maculopathy – Page 44 of 45

References 1. Leng, Theodore, MD,MS, Michael Marmor, MD, Ulrich Kellner, MD, Dorothy Thompson, PhD, Agnes Renner, MD, William Moore, FRCS, and Swoden Jane, PhD. “Foveal Cavitation As An Optical Coherence Tomography Finding in Central Cone Dysfunction.” Foveal Cavitation As An Optical Coherence Tomography Finding in Central Cone Dysfunction 32.7 (2012): 1411-419. Print. 2. Turaka Kiran,

Laser Pointer Maculopathy – Page 44 of 452021-12-01T16:31:20+00:00

Laser Pointer Maculopathy – Page 42 of 45

Jerome Sherman, OD, FAAO Jerome Sherman, O.D., is perhaps optometry's most prolific writer, publishing over 650 clinical articles, research manuscripts, book chapters and two CDs. He is senior author of three books that were published in 2007, and has delivered over three thousand lectures both nationally and internationally. He has served as a

Laser Pointer Maculopathy – Page 42 of 452021-12-01T16:30:59+00:00

Laser Pointer Maculopathy – Page 40 of 45

Comments and ConclusionsIn cases of unusual, sudden onset maculopathies, consider exposure to laser pointers as a possible etiology.Although green laser pointers typically operate at a higher energy level, we have seen red laser pointer result in similar maculopathies.The iWellness Exam can detect retinal disorders in the posterior pole and can simultaneously help in the differential

Laser Pointer Maculopathy – Page 40 of 452021-12-01T16:30:47+00:00

Laser Pointer Maculopathy – Page 39 of 45

Case 2 (Study Case): iVue OCT Comparison Images OU The RDs are larger and more elevated in the right eye than in the left. The probable diagnosis is CSCR although several rare disorders, such as Harada’s disease, are possible. Treatment options, including photodynamic therapy (PDT) and anti-VEGF injections, were discussed but not recommended at present.

Laser Pointer Maculopathy – Page 39 of 452021-12-01T16:30:38+00:00

Laser Pointer Maculopathy – Page 38 of 45

Case 2 (Study Case): iVue Thickness Map and OCT Image OS Yet another similar elevation is found inferior temporal to the disc in the left eye.

Laser Pointer Maculopathy – Page 38 of 452021-12-01T16:30:30+00:00

Laser Pointer Maculopathy – Page 37 of 45

Case 2 (Study Case): iVue Thickness Map and OCT Image OSNote a similar elevation superior temporal to the disc in the left eye.

Laser Pointer Maculopathy – Page 37 of 452021-12-01T16:30:24+00:00

Laser Pointer Maculopathy – Page 36 of 45

Case 2 (Study Case): iVue Thickness Map and OCT Image ODThis horizontal scan temporal to the macula reveals a second serous detachment of the neurosensory retina, also known as a non-rhegmatogenous retinal detachment (RD). See RR#37 of a typical rhegmatogenous RD.

Laser Pointer Maculopathy – Page 36 of 452021-12-01T16:30:19+00:00