Case #53 – Laser Pointer Maculopathy

Laser Pointer Maculopathy – Page 25 of 45

Case 1: Optovue Retina Map and Optomap® AF OU In the OD above, the AF image appears normal but the OCT is clearly disrupted. In the OS below, both the AF image and the OCT reveal marked abnormalities of the RPE.

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Laser Pointer Maculopathy – Page 23 of 45

Case 1: Optovue Retina Map OS In the most inferior horizontal scan of the 7 sections in this Retina Map, all structures appear normal.

Laser Pointer Maculopathy – Page 23 of 452023-02-02T20:26:51+00:00

Laser Pointer Maculopathy – Page 21 of 45

Case 1: Optovue Retina Map OS In this horizontal scan below the fovea, there appears to be 3 distinct cyst-like gaps, “bubbles” or cavities deep within the macula. The term “foveal cavitation” has recently been introduced for patients with cone disorders but these patients exhibited only singular cavities.1 In RR#24 numerous examples of singular

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Laser Pointer Maculopathy – Page 20 of 45

Case 1: Optovue Retina Map OS In this scan through the fovea, note the disruption of both the PIL and IRB in the center of the scan and a Iarge cyst-like zone of hyporeflectivity.

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Laser Pointer Maculopathy – Page 19 of 45

Case 1: Optovue Retina Map OS In this horizontal scan above the fovea in the OS, there appear to be long and thin hyporeflactive band below IRB (Internal RPE Border: formally often turmed Verhoeff membrane, as mentioned previously).

Laser Pointer Maculopathy – Page 19 of 452023-02-02T20:26:52+00:00