Case #53 – Laser Pointer Maculopathy

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Case 2 (Study Case): iVue Thickness Map and OCT Image OD The SD OCT reveals a small pigment epithelial detachment (PED) and a large serous detachment of the neurosensory retina in this horizontal scan in the right eye. These findings, along with the results of Fluorescein Angiography (FA), support the diagnosis of central serous

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Case 2 (Study Case): iVue GCC Thickness Patient vs. Normal Comparison OU The patient’s GCC Thickness Map is shown to the left and a normal control is shown below for comparison. The normal control reveals a typical “green donut” in each eye which corresponds to the thickness of GCC. The thin center, which

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Case 2 (Study Case): iVue iWellness Exam The Optovue iWellnessExam is a single scan of each eye which yields 8 high resolution retinal cross sections as well as an analysis of the full retinal thickness and ganglion cell complex (GCC). Above is the Optovue iWellnessExam printout of the patient in Case 2. This printout

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Introduction to iWellness Exam: Exemplary Case of both Retinal and Optic Nerve Disorder Case 2: This patient is an exemplary case of Category 4 (Retinal and Optic Nerve Disorder ) from the ARVO presentation. A 58-year old Hispanic male presented for a second opinion concerning his recent onset of blurred vision in his right eye.

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Introduction to iWellness Exam Results: Of the CNs, 104 of 105 were identified as normal (Specificity =99%). Of the CDs, 97 of 102 were properly identified with retinal and/or ON disease (sorted as category 2, 3, or 4), 63 of 68 of the retinal pathology subjects were detected (sorted as category 2 or 4),

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Introduction to iWellness Exam A recent ARVO (Association for Research in Vision and Ophthalmology) presentation demonstrated the high sensitivity and specificity of the iWellness Exam.3 Purpose: To determine the ability of the iWellness Exam SD-OCT screening protocol (available on the iVue® SD-OCT, Optovue, Inc. Fremont, CA) to provide data sufficient for a clinician to

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Myriad Etiologies of Maculopathies and Optic Neuropathies Based upon the extended history, trauma from the green laser exposure appears to be the etiology. The VITAMINEx2I mnemonic is helpful in recalling various etiologies.

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Further Confirmation that Laser Pointers can Induce Maculopathy From: 2Turaka Kiran, J. Shepard Bryan, Alan J. Gordon, Rahul Reddy, Henry M. Kwong, ir., and Clive H. Sell. Laser Pointer Induced Macular Damage: Case Report and Mini Review.” International Opthalmology 32 (2012): 293-97.

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Taking the time to obtain an extended history was essential and asking nearly the right question was also helpful. But if the dad was not present, I would not have thought about asking about viewing a laser pointer. Hence, luck contributed greatly to the diagnosis. A review of the world’s literature reveals controversy about this

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Extended History After OCT • After reviewing the OCT scans and the AF images, I (JS) asked the 14 year old if he ever had looked at the sun. I asked this question since the OCT appears vaguely similar to OCTs that I have previously seen in a patient who admitted to sun gazing. (The

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