This healthy 19YO female noticed immediate blurred vision in her right eye after looking at a laser during a party. Her vision in this eye was 20/60 when she presented to us the following day.
Optos color RG imaging shows a foveal pseudohole. OCT scanning shows a central foveal column of full-thickness hyperreflectivity. There is loss of the outer segment bands overlying the RPE.
Learning Points:
Most cases of laser maculopathy reported in the literature are caused by intentional or inadvertent exposure to laser pointers (Bhavsar et al, Survey Ophthalmology 2021;66:231-260). However, more recently, there have been reports of macular injury from exposure to high-power lasers during concerts or from DJ laser machines (Perz-Montano et al, Doc Ophthalmol 2019;138:71-76). Most eyes recover fairly good vision with conservative management.
Our patient was immediately lost to follow-up.
