Multimodal imaging in handheld laser-induced maculopathy

Kavita Bhavsar, Deanna Wilson, Ron Margolis, Peter Judson, Irene Barbazetto, K. Bailey Freund, Emmett T. Cunningham

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Purpose To describe the clinical and imaging findings in 3 patients with maculopathy secondary to handheld laser exposure. Design Retrospective, observational case series. Methods We evaluated the multimodal imaging including fundus autofluorescence and spectral-domain optical coherence tomography (OCT) for 3 patients with histories of exposure to handheld lasers. Results An 18-year-old woman with a history of repetitive self-inflicted handheld laser exposure was found to have bilateral outer retinal streaks in the macula and the superior peripheral retina on both ophthalmoscopy and multimodal imaging. Initial spectral-domain OCT revealed vertical hyper-reflective bands at the level of the outer retina corresponding to the streaks. An 11-year-old boy who played with a green laser developed a yellow foveal lesion and outer retinal streaks in the superior macula. Spectral-domain OCT showed vertical hyper-reflective bands in the outer retina corresponding to the streaks. A 14-year-old boy developed bilateral focal foveal lesions and ellipsoid loss on spectral-domain OCT following peer-inflicted laser injury. Conclusions In a series of 3 patients, outer retinal streaks were associated with self-inflicted handheld laser injury. In contrast, accidental and peer-inflicted laser injuries were found to result in focal foveal lesions.

Original languageEnglish (US)
Pages (from-to)227-231.e2
JournalAmerican Journal of Ophthalmology
Volume159
Issue number2
DOIs
StatePublished - Feb 1 2015
Externally publishedYes

Fingerprint

Multimodal Imaging
Lasers
Optical Coherence Tomography
Retina
Wounds and Injuries
Ophthalmoscopy

ASJC Scopus subject areas

  • Ophthalmology
  • Medicine(all)

Cite this

Bhavsar, K., Wilson, D., Margolis, R., Judson, P., Barbazetto, I., Bailey Freund, K., & Cunningham, E. T. (2015). Multimodal imaging in handheld laser-induced maculopathy. American Journal of Ophthalmology, 159(2), 227-231.e2. https://doi.org/10.1016/j.ajo.2014.10.020

Multimodal imaging in handheld laser-induced maculopathy. / Bhavsar, Kavita; Wilson, Deanna; Margolis, Ron; Judson, Peter; Barbazetto, Irene; Bailey Freund, K.; Cunningham, Emmett T.

In: American Journal of Ophthalmology, Vol. 159, No. 2, 01.02.2015, p. 227-231.e2.

Research output: Contribution to journalArticle

Bhavsar, K, Wilson, D, Margolis, R, Judson, P, Barbazetto, I, Bailey Freund, K & Cunningham, ET 2015, 'Multimodal imaging in handheld laser-induced maculopathy', American Journal of Ophthalmology, vol. 159, no. 2, pp. 227-231.e2. https://doi.org/10.1016/j.ajo.2014.10.020
Bhavsar K, Wilson D, Margolis R, Judson P, Barbazetto I, Bailey Freund K et al. Multimodal imaging in handheld laser-induced maculopathy. American Journal of Ophthalmology. 2015 Feb 1;159(2):227-231.e2. https://doi.org/10.1016/j.ajo.2014.10.020
Bhavsar, Kavita ; Wilson, Deanna ; Margolis, Ron ; Judson, Peter ; Barbazetto, Irene ; Bailey Freund, K. ; Cunningham, Emmett T. / Multimodal imaging in handheld laser-induced maculopathy. In: American Journal of Ophthalmology. 2015 ; Vol. 159, No. 2. pp. 227-231.e2.
@article{69f658537c4f4d5aa2cfbf4a10008559,
title = "Multimodal imaging in handheld laser-induced maculopathy",
abstract = "Purpose To describe the clinical and imaging findings in 3 patients with maculopathy secondary to handheld laser exposure. Design Retrospective, observational case series. Methods We evaluated the multimodal imaging including fundus autofluorescence and spectral-domain optical coherence tomography (OCT) for 3 patients with histories of exposure to handheld lasers. Results An 18-year-old woman with a history of repetitive self-inflicted handheld laser exposure was found to have bilateral outer retinal streaks in the macula and the superior peripheral retina on both ophthalmoscopy and multimodal imaging. Initial spectral-domain OCT revealed vertical hyper-reflective bands at the level of the outer retina corresponding to the streaks. An 11-year-old boy who played with a green laser developed a yellow foveal lesion and outer retinal streaks in the superior macula. Spectral-domain OCT showed vertical hyper-reflective bands in the outer retina corresponding to the streaks. A 14-year-old boy developed bilateral focal foveal lesions and ellipsoid loss on spectral-domain OCT following peer-inflicted laser injury. Conclusions In a series of 3 patients, outer retinal streaks were associated with self-inflicted handheld laser injury. In contrast, accidental and peer-inflicted laser injuries were found to result in focal foveal lesions.",
author = "Kavita Bhavsar and Deanna Wilson and Ron Margolis and Peter Judson and Irene Barbazetto and {Bailey Freund}, K. and Cunningham, {Emmett T.}",
year = "2015",
month = "2",
day = "1",
doi = "10.1016/j.ajo.2014.10.020",
language = "English (US)",
volume = "159",
pages = "227--231.e2",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Multimodal imaging in handheld laser-induced maculopathy

AU - Bhavsar, Kavita

AU - Wilson, Deanna

AU - Margolis, Ron

AU - Judson, Peter

AU - Barbazetto, Irene

AU - Bailey Freund, K.

AU - Cunningham, Emmett T.

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Purpose To describe the clinical and imaging findings in 3 patients with maculopathy secondary to handheld laser exposure. Design Retrospective, observational case series. Methods We evaluated the multimodal imaging including fundus autofluorescence and spectral-domain optical coherence tomography (OCT) for 3 patients with histories of exposure to handheld lasers. Results An 18-year-old woman with a history of repetitive self-inflicted handheld laser exposure was found to have bilateral outer retinal streaks in the macula and the superior peripheral retina on both ophthalmoscopy and multimodal imaging. Initial spectral-domain OCT revealed vertical hyper-reflective bands at the level of the outer retina corresponding to the streaks. An 11-year-old boy who played with a green laser developed a yellow foveal lesion and outer retinal streaks in the superior macula. Spectral-domain OCT showed vertical hyper-reflective bands in the outer retina corresponding to the streaks. A 14-year-old boy developed bilateral focal foveal lesions and ellipsoid loss on spectral-domain OCT following peer-inflicted laser injury. Conclusions In a series of 3 patients, outer retinal streaks were associated with self-inflicted handheld laser injury. In contrast, accidental and peer-inflicted laser injuries were found to result in focal foveal lesions.

AB - Purpose To describe the clinical and imaging findings in 3 patients with maculopathy secondary to handheld laser exposure. Design Retrospective, observational case series. Methods We evaluated the multimodal imaging including fundus autofluorescence and spectral-domain optical coherence tomography (OCT) for 3 patients with histories of exposure to handheld lasers. Results An 18-year-old woman with a history of repetitive self-inflicted handheld laser exposure was found to have bilateral outer retinal streaks in the macula and the superior peripheral retina on both ophthalmoscopy and multimodal imaging. Initial spectral-domain OCT revealed vertical hyper-reflective bands at the level of the outer retina corresponding to the streaks. An 11-year-old boy who played with a green laser developed a yellow foveal lesion and outer retinal streaks in the superior macula. Spectral-domain OCT showed vertical hyper-reflective bands in the outer retina corresponding to the streaks. A 14-year-old boy developed bilateral focal foveal lesions and ellipsoid loss on spectral-domain OCT following peer-inflicted laser injury. Conclusions In a series of 3 patients, outer retinal streaks were associated with self-inflicted handheld laser injury. In contrast, accidental and peer-inflicted laser injuries were found to result in focal foveal lesions.

UR - http://www.scopus.com/inward/record.url?scp=84919781920&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84919781920&partnerID=8YFLogxK

U2 - 10.1016/j.ajo.2014.10.020

DO - 10.1016/j.ajo.2014.10.020

M3 - Article

VL - 159

SP - 227-231.e2

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

SN - 0002-9394

IS - 2

ER -