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Severe Linear Retinal Burn from a Handheld Laser Pointer in a Pediatric Patient: A Case Report
Kevin Shan1,2, Elizabeth A Atchison3,1
1Ophthalmology Limited, Sioux Falls, South Dakota.
Summary
Handheld green laser pointers can cause severe retinal damage in children, leading to maculopathy and persistent vision loss. This case highlights the risks of high-power lasers and the need for increased public awareness and safety regulations.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Medical Imaging
Background:
- Presents a unique case of handheld laser-induced retinal injury in a pediatric patient.
- Highlights the risks associated with high-power laser pointers, commonly available to the public.
Observation:
- A 12-year-old boy experienced a scotoma after using a 5 mW, 532 nm green laser pointer.
- Fundus examination revealed a linear burn at the macula, consistent with laser-induced phototoxicity.
- Fundus autofluorescence (FAF) showed disruption of the outer retina and retinal pigment epithelium (RPE).
Findings:
- The injury resulted in maculopathy and a linear scotoma.
- Symptoms improved over three years, but the scotoma persisted.
- This case demonstrates a previously unreported pattern of retinal injury.
Implications:
- Underscores the importance of multimodal imaging, including FAF, for diagnosing laser-induced retinal injuries.
- Stresses the need for increased public awareness and stricter safety regulations for laser pointers.
- Suggests further investigation into effective treatment options for such injuries.
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