title: Multimodal imaging in a case of self-inflicted laser-induced maculopathy.
abstract: OBJECTIVE
  To describe the clinical and imaging findings in a case of self-inflicted handheld laser exposure.
  
  
  METHODS
  We evaluated multimodal imaging including fundus autofluorescence, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography, and indocyanine green angiography for a 32-year-old man with a history of repetitive self-inflicted handheld laser exposure.
  
  
  RESULTS
  Funduscopic examination revealed bilateral and asymmetric yellow macular linear streaks with a vertical pattern in the superior macula. Curvilinear bands of dense hyperreflectivity extending from the ellipsoid zone of the photoreceptors and ending at the level of the outer plexiform layer were seen on SD-OCT immediately after injury. After intravenous high-dose corticosteroids during 3 days, the lesions decreased slightly.
  
  
  CONCLUSIONS
  The recognition of characteristic self-inflicted handheld laser-induced lesions is paramount as laser pointer misuse has been increasing over the years.
authors.affiliation: Department of Ophthalmology, CHU de Bordeaux, Bordeaux - France.|University of Bordeaux, ISPED, Bordeaux - France.
authors.forename: France
authors.initials: F
authors.lastname: Combillet
authors.affiliation: Department of Ophthalmology, CHU de Bordeaux, Bordeaux - France.
authors.forename: Valentine
authors.initials: V
authors.lastname: Saunier
authors.affiliation: Department of Ophthalmology, CHU de Bordeaux, Bordeaux - France.
authors.forename: Marie Bénédicte
authors.initials: MB
authors.lastname: Rougier
authors.affiliation: Department of Ophthalmology, CHU de Bordeaux, Bordeaux - France.|University of Bordeaux, ISPED, Bordeaux - France.|Inserm, U1219 Bordeaux Population Health Research Center, F-33000, Bordeaux - France.
authors.forename: Marie Noëlle
authors.initials: MN
authors.lastname: Delyfer
authors.affiliation: Department of Ophthalmology, CHU de Bordeaux, Bordeaux - France.|University of Bordeaux, ISPED, Bordeaux - France.|Inserm, U1219 Bordeaux Population Health Research Center, F-33000, Bordeaux - France.
authors.forename: Jean-Francois
authors.initials: JF
authors.lastname: Korobelnik
mesh_terms: D000328:Adult; D004396:Coloring Agents / Q000008:administration & dosage; D005131:Eye Injuries / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007208:Indocyanine Green / Q000008:administration & dosage; D007275:Injections, Intravenous; D007834:Lasers / Q000009:adverse effects*; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D064847:Multimodal Imaging; D009887:Ophthalmoscopy; D012160:Retina / Q000000981:diagnostic imaging / Q000293:injuries*; D012164:Retinal Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D012189:Retrospective Studies; D016728:Self-Injurious Behavior / Q000175:diagnosis*; D041623:Tomography, Optical Coherence / Q000379:methods
chemical_list: D004396:Coloring Agents; D005938:Glucocorticoids; D007208:Indocyanine Green; D008775:Methylprednisolone