title: Multimodal imaging in handheld laser-induced maculopathy.
abstract: OBJECTIVE
  To describe the clinical and imaging findings in 3 patients with maculopathy secondary to handheld laser exposure.
  
  
  METHODS
  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.
authors.affiliation: Vitreous Retina Macula Consultants of New York, New York, New York; LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York; Department of Ophthalmology, New York University Langone Medical Center, New York, New York; Department of Ophthalmology, Columbia University, New York, New York.
authors.forename: Kavita V
authors.initials: KV
authors.lastname: Bhavsar
authors.affiliation: KaiserPermanenteNapa-Solano, Vallejo, California.
authors.forename: Deanna
authors.initials: D
authors.lastname: Wilson
authors.affiliation: Retina Consultants, P.C., Hartford, Connecticut.
authors.forename: Ron
authors.initials: R
authors.lastname: Margolis
authors.affiliation: Retina Consultants, P.C., Hartford, Connecticut.
authors.forename: Peter
authors.initials: P
authors.lastname: Judson
authors.affiliation: Vitreous Retina Macula Consultants of New York, New York, New York; LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York; Department of Ophthalmology, New York University Langone Medical Center, New York, New York; Department of Ophthalmology, Columbia University, New York, New York.
authors.forename: Irene
authors.initials: I
authors.lastname: Barbazetto
authors.affiliation: Vitreous Retina Macula Consultants of New York, New York, New York; LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York; Department of Ophthalmology, New York University Langone Medical Center, New York, New York; Department of Ophthalmology, Columbia University, New York, New York. Electronic address: kbfnyf@aol.com.
authors.forename: K Bailey
authors.initials: KB
authors.lastname: Freund
authors.affiliation: California Pacific Medical Center, San Francisco, California; Department of Ophthalmology, Stanford University School of Medicine, Stanford, California; Francis I. Proctor Foundation, San Francisco, California; West Coast Retina Medical Group, San Francisco, California.
authors.forename: Emmett T
authors.initials: ET
authors.lastname: Cunningham
mesh_terms: D000293:Adolescent; D002648:Child; D005131:Eye Injuries / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007834:Lasers / Q000009:adverse effects*; D008297:Male; D064847:Multimodal Imaging; D009887:Ophthalmoscopy; D012160:Retina / Q000293:injuries*; D012164:Retinal Diseases / Q000175:diagnosis* / Q000503:physiopathology; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology