title: CHOROIDAL NEOVASCULARIZATION SECONDARY TO ALEXANDRITE LASER EXPOSURE.
abstract: OBJECTIVE
  To report macular photic trauma after accidental occupational exposure to a 750-nm Alexandrite laser and management of secondary choroidal neovascularization.
  
  
  METHODS
  Institutional review board-approved retrospective case report.
  
  
  RESULTS
  A 30-year-old woman presented with immediate vision loss in her left eye after direct inadvertent exposure to a single discharge from an occupational 750-nm Alexandrite laser used for laser hair removal. Baseline Snellen visual acuity was 20/40 in the involved left eye. One week after the initial exposure, the patient experienced subjective visual decline to 20/50, was treated with oral prednisone, and then developed a subretinal hemorrhage (SRH) in the setting of choroidal neovascularization 2 weeks later, or 3 weeks after initial trauma. The patient subsequently received 5 intravitreal ranibizumab injections over 25 weeks with resolution of the SRH. Final visual acuity was 20/50.
  
  
  CONCLUSIONS
  The present case documents development and management of subretinal hemorrhage associated with choroidal neovascularization following macular photic trauma after accidental occupational to a 750-nm Alexandrite laser.
authors.affiliation: *Retina Consultants of Houston, Houston, Texas; and †Blanton Eye Institute, Houston Methodist Hospital & Weill Cornell Medical College, Houston, Texas.
authors.forename: Rui
authors.initials: R
authors.lastname: Wang
authors.forename: Charles C
authors.initials: CC
authors.lastname: Wykoff
authors.forename: Lynsey
authors.initials: L
authors.lastname: Christie
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Croft
authors.forename: James C
authors.initials: JC
authors.lastname: Major
authors.forename: Richard H
authors.initials: RH
authors.lastname: Fish
authors.forename: David M
authors.initials: DM
authors.lastname: Brown
mesh_terms: D000328:Adult; D001608:Beryllium; D020256:Choroidal Neovascularization / Q000209:etiology*; D005260:Female; D006801:Humans; D053844:Lasers, Solid-State / Q000009:adverse effects*; D008266:Macula Lutea / Q000293:injuries*; D012166:Retinal Hemorrhage / Q000209:etiology
chemical_list: C112654:alexandrite; D001608:Beryllium