This 14YO boy presented with vision loss in his right eye following self-directed exposure to a blue wavelength laser pointer. Vision was 20/200 in his right eye and 20/20 in his normal left eye.
Color imaging and OCT scanning show an irregular full-thickness macula hole. The hole closed following vitrectomy surgery, but vision failed to improve.
Learning Points:
Laser pointers can cause significant macular injury, including solar maculopathy-like outer foveal microdefects, hemorrhage, pseudo macular dystrophy, vitelliform lesions, and macular scarring (Bhavsar et al, Surv Ophthalmology 2021;66:231-260). There are also numerous reports of a secondary full-thickness macular hole, as developed in our patient.
