Citation

Simonett JM, Scarinci F, Labriola LT, Jampol LM, Goldstein DA, Fawzi AA. J. AAPOS 2016; 20(2): 168-170.

Affiliation

Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Electronic address: amani.fawzi@northwestern.edu.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.jaapos.2015.11.007

PMID

27012364

Abstract

A 17-year-old young man presented with vision loss and discrete, bilateral foveal lesions. The patient returned 6 weeks later with worsening vision, prominent bilateral retinal lesions, and a full-thickness macular hole in the right eye consistent with recurrent self-inflicted handheld laser retinopathy. After instructing the family to remove the patient's access to laser pointers, follow-up examination revealed spontaneous closure of the macular hole but minimal vision improvement. Recurrent ocular exposure to handheld lasers can masquerade as an organic process in patients who withhold pertinent history. Clinicians should rely on the distinguishing features seen on examination and multimodal imaging to make the diagnosis of handheld laser retinopathy.

Copyright © 2016 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.

Language: en