Download Full Image

LASER MACULOPATHY

Will Gibson

Originally posted on @retina.rocks 06/29/2023

This 36YO male gave a 2-year history of immediate vision loss in his right eye following an accidental 1064nm YAG laser exposure. Vision was 20/80.

Optos color imaging shows a small, round, mostly atrophic foveal scar, which is variably hypoautofluorescent.

OCT scanning shows a degenerative lamellar macular hole (LMH) with focal loss of the underlying outer retinal bands (outer foveal microdefect), RPE loss, and a possible shallow choroidal excavation.