Full-Thickness Macular Hole Secondary to High-Power Handheld Blue Laser: Natural History and Management Outcomes

Alrushood, Abdulaziz Adel; Almasaud, Jluwi; Alkharashi, Abdullah; Abboud, Emad B.; Al-Amry, Mohammad; Al-Rashaed, Saba; Ghazi, Nicola G.; Arévalo, J. Fernando; Nowilaty, Sawsan R.; Rashaed, Saba Al; Al-Dhibi, Hassan; Alzahrani, Yahya; Kozák, Igor; Alsulaiman, Sulaiman M.; Al-Abdullah, Abdulelah A.; Albar, Ahmad; Dhafiri, Yousef Al; Qahtani, Abdullah Al; Rubaie, Khalid Al; Shahrani, Saeed Al; Shehri, Maha Al; Ahmadi, Badr Al; Hadlaq, Abdulaziz Al; Harbi, Majed Al; Oreany, Abdulaziz Al

doi:10.1016/j.ajo.2015.04.014

Cited by 42 publications

(54 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3-5, 10-20 Most of the cases occurred as a result of intentional viewing into a laser's beam or use of lasers by poorly trained individuals in military activities. 5, 13, 18, 21, 22 However, with the high power now available in hand-held laser damage can be caused even by accidental exposure.…”

mentioning

confidence: 99%

“…The mechanism of macular hole (MH) formation following high power laser exposure is believed to be as a result of photodisruptive effect that leads to initial retinal dehiscence and subsequently enlarges secondary to tractional forces by the taut hyaloid. 3, 10, 18 Spontaneous closure of macular holes may be anticipated in some cases; however, since those cases behave differently from idiopathic and traumatic holes, and high likelihood of MH enlargement, further early surgical intervention may be required. 18 The largest study of FTMH secondary to laser pointer injuries was from Saudi Arabia, 18 the study group reported the outcomes of 17 eyes with a mean of 20/210 (ranged from 20/30 to 2/200) baseline vision that had FTMH following handheld blue laser exposure with a wavelength of 450 nm and a power of up to 2000 mW.…”

mentioning

confidence: 99%

“…3, 10, 18 Spontaneous closure of macular holes may be anticipated in some cases; however, since those cases behave differently from idiopathic and traumatic holes, and high likelihood of MH enlargement, further early surgical intervention may be required. 18 The largest study of FTMH secondary to laser pointer injuries was from Saudi Arabia, 18 the study group reported the outcomes of 17 eyes with a mean of 20/210 (ranged from 20/30 to 2/200) baseline vision that had FTMH following handheld blue laser exposure with a wavelength of 450 nm and a power of up to 2000 mW. Eleven of 14 (78.6%) operated eyes following an observation period had complete closure of the macular hole and vision improved from 20/230 (range; 20/60-2/200) to 20/43 (range: 20/20- 20/200) in those cases.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Laser Pointers Revisited

Bartsch

Müftüoğlu

Freeman

2016

Retina

View full text Add to dashboard Cite

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Laser Pointers Revisited

Bartsch

Müftüoğlu

Freeman

2016

Retina

View full text Add to dashboard Cite

“…The macular hole was closed in eleven cases. The macular hole was smaller in one eye of three unoperated eyes [12].…”

Section: Discussionmentioning

confidence: 81%

A case of macular hole formation by high-power laser pointer

Borowicz

Koman²,

Matysik-Woźniak³

et al. 2017

Ophthalmology J

View full text Add to dashboard Cite

Laser pointers are omnipresent. They are used in many spheres of life, e.g. education, medicine, industry, entertainment, and military. The number of reports of eye injury caused by laser pointers when used improperly is growing. We report a case of a 23-year-old man who had a full-thickness macular hole in the left eye after using an inappropriately high powered laser pointer. The patient was treated successfully with 23-gauge pars plana vitrectomy. This case underlines the importance of careful and correct use of laser pointers because of the vision-threatening dangers induced by mishandling these gadgets.

show abstract

“…In the article, the author cited a report from American food and drug association that stated the risk of irreversible eye injuries and skin burns from the hand held laser pointers that emit >5 mW power. Alsulaiman SM [3] reported the natural history and management outcomes of full-thickness macular hole caused by momentary exposure to a high-power handheld blue laser device and concluded that full-thickness macular hole can result from momentary exposure to high-power handheld laser devices.…”

Section: Introductionmentioning

confidence: 99%

Damage to the macula associated with LED-derived blue laser exposure: A case report

Liang

Cui

et al. 2017

BMC Ophthalmol

View full text Add to dashboard Cite

BackgroundLight emitting diodes laser is emerging as an important source of light replacing conventional lights. It is widely used for illumination in the bar where young people love to go. But not everyone knows about the light damage to the eye especially to the macula. In this article, we report the case of a macular damage induced by LED-derived blue laser in a bar, studied with optical coherence tomography (OCT) to evaluate the retinal lesion and multifocal electroretinography (mfERG) to evaluate functional damage.Case presentationFour days after the photo injury to the right eye, the visual acuity was 0.5. Funduscopy revealed a round red lesion in the macula of the right eye. Fluorescein angiography (FA) revealed no leakage. OCT revealed a deficiency in the center of the fovea. MfERG revealed a reduction of the peak value in the right eye compared to the left eye. One month later, although the vision was 1.0 in the right eye, OCT revealed a hyporeflectivity of the ellipsoid zone. MfERG still showed a reduction of the peak value in the right eye compared to the left eye.ConclusionWe believe that general knowledge about laser injuries to the eye should be realized widely. We also think in cases of macular laser damage, the recovery of vision can not demonstrate the recovery of the function of photoreceptors.

show abstract

Full-Thickness Macular Hole Secondary to High-Power Handheld Blue Laser: Natural History and Management Outcomes

Cited by 42 publications

References 25 publications

Laser Pointers Revisited

Laser Pointers Revisited

A case of macular hole formation by high-power laser pointer

Damage to the macula associated with LED-derived blue laser exposure: A case report

Contact Info

Product

Resources

About