Maculopathy From Handheld Diode Laser Pointer
Arch Ophthalmol. 1999;117:1557-1558.
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Report of a Case
An 11-year-old girl was referred to our practice with a 3-week history of visual decrease in her right eye. She reported that, while on the school bus, one of her classmates had attempted to determine whether a laser pointer would cause pupillary constriction. During the episode she stared at the activated laser pointer for several multisecond exposures with the right eye. She immediately noted decreased vision and a central scotoma in the affected eye.
Three weeks later the best-corrected visual acuity was 20/60 -2 OD and 20/25 +2 OS. Amsler grid in the right eye revealed a relative central scotoma involving the center 2°. Anterior segment was normal in both eyes. Ophthalmoscopy of the right eye disclosed pigmentary clumping in the central fovea with loss of the central foveal reflex (Figure 1). Results of a fundus examination of the left eye were normal.
Figure appears in full text version.
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Comment
Reprints: Clive H. Sell, MD, Associated Retina Consultants Ltd, 5501 N 19th Ave, Suite 310, Phoenix, AZ 85015.
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