@article{ref1,
title="High-powered blue-light laser-induced maculopathy in an adolescent: multi-modal imaging, evolution, and management",
journal="Retinal cases and brief reports",
year="2020",
author="Botsford, Benjamin W. and Williams, Andrew M. and Martel, Joseph N.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To characterize evolution of macular injury from a high-powered blue handheld laser using multimodal imaging and describe successful surgical treatment. <br><br>METHODS: Observational clinical case report. <br><br>RESULTS: A 17-year-old boy presented with unilateral acute loss of vision with discrete white macular lesions, full-thickness disruption of retinal layers, and hyperreflective material at the fovea on optical coherence tomography caused by exposure to a 445 nm blue-light handheld laser with power up to 2,000 mW characterized as a Class IV laser. The injury evolved into an approximately 950-μm full-thickness macular hole 3 weeks later with visual acuity of 20/400. Vitrectomy and internal limiting membrane peel resulted in anatomic success and final vision at 4 months of 20/25. <br><br>CONCLUSION: High-powered lasers can induce significant disruption of retinal layers, inflammatory debris, and full-thickness macular holes with momentary exposure that, despite poor anatomic prognostic factors, can have successful surgical outcomes.<p /> <p>Language: en</p>",
language="en",
issn="1935-1089",
doi="10.1097/ICB.0000000000000963",
url="http://dx.doi.org/10.1097/ICB.0000000000000963"
}