Case #53 – Laser Pointer Maculopathy

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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,

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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,

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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

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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

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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.

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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.

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

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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.

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