DR. PRANUSHA THATIPALLI

DR. MINIJA C. K., DR.DUBEY NIDHI

Abstract

Laser pointer maculopathy though uncommon, due to wider accessibility of high power lasers and their misuse, have been reported. A 30year man presented to our clinic complaining of bilateral progressive loss of vision. Gave history of accidental laser pointer injury 2yrs ago but he strongly denies its usage now. On examination anterior segment was normal, fundus showed bilateral macular scar with creamy gray irregular lesions at posterior pole. OCT showed outer retinal atrophy, clumping of RPE. AF showed hypoautofluorescence surrounded by hyperautofluorescent lesions at macula, and linear track like dendritic lesions. A thorough uveitis workup showed negative results. All the lesions clinically and by imaging were progressive despite treatment with steroids and immunosuppressants. The results of imaging suggested self-inflicted laser-induced maculopathy. A high index of suspicion and multimodal imaging allows early correct diagnosis and prevents further vision loss.