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Retinal Damage from Laser Pointer Misuse - Case Series from the Military Sector in Oman.

Shenoy R, Bialasiewicz AA, Bandara A, Isaac R - Middle East Afr J Ophthalmol (2015 Jul-Sep)

Bottom Line: Laser pointers are practical and safe training tools when used properly.The ocular and visual morbidity can result in significant expenses for medical care and inability to work (temporarily or permanently) for civilians and military personnel.We present three cases of soldiers who experienced vision loss following exposure to laser pointers, while celebrating successful football game.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Armed Forces Hospital, Muscat, Sultanate of Oman.

ABSTRACT
Laser pointers are practical and safe training tools when used properly. If used incorrectly they can cause ocular damage, potentially resulting in devastating vision loss. The ocular and visual morbidity can result in significant expenses for medical care and inability to work (temporarily or permanently) for civilians and military personnel. We present three cases of soldiers who experienced vision loss following exposure to laser pointers, while celebrating successful football game.

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Related in: MedlinePlus

(a) Fundus photograph OD - showing normal fundus (b) fundus photograph OS - showing full thickness macular hole
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Figure 10: (a) Fundus photograph OD - showing normal fundus (b) fundus photograph OS - showing full thickness macular hole

Mentions: Case 3 was another soldier who was 28 years old and presented approximately 8–9 months after presentation of Cases 1 and 2 with a similar history. However, he reported to the clinic immediately after exposure. On examination, best corrected visual acuity was 6/5 with a refraction of −0.25 D sphere in the right eye and 1/60 with a refraction of −0.25 D sphere in the left eye with no improvement on pinhole testing. Amsler grid testing indicated normal results in the right eye and a central scotoma in the left eye. On fundus evaluation the CDRs were 0.3 bilaterally, the retinal vessels and fovea in the right eye were normal. There was a well circumscribed round hole at the fovea in the left eye [Figure 10]. On Optical coherence tomography, the macula was normal in the right eye, and there was a full thickness macular hole with cystoid changes at the edges of the hole and increased reflectivity at the base in the left eye [Figure 11]. Fluorescein angiography of the right eye was unremarkable and there was a window defect in the left eye corresponding to the full thickness macular hole [Figure 12].


Retinal Damage from Laser Pointer Misuse - Case Series from the Military Sector in Oman.

Shenoy R, Bialasiewicz AA, Bandara A, Isaac R - Middle East Afr J Ophthalmol (2015 Jul-Sep)

(a) Fundus photograph OD - showing normal fundus (b) fundus photograph OS - showing full thickness macular hole
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4502191&req=5

Figure 10: (a) Fundus photograph OD - showing normal fundus (b) fundus photograph OS - showing full thickness macular hole
Mentions: Case 3 was another soldier who was 28 years old and presented approximately 8–9 months after presentation of Cases 1 and 2 with a similar history. However, he reported to the clinic immediately after exposure. On examination, best corrected visual acuity was 6/5 with a refraction of −0.25 D sphere in the right eye and 1/60 with a refraction of −0.25 D sphere in the left eye with no improvement on pinhole testing. Amsler grid testing indicated normal results in the right eye and a central scotoma in the left eye. On fundus evaluation the CDRs were 0.3 bilaterally, the retinal vessels and fovea in the right eye were normal. There was a well circumscribed round hole at the fovea in the left eye [Figure 10]. On Optical coherence tomography, the macula was normal in the right eye, and there was a full thickness macular hole with cystoid changes at the edges of the hole and increased reflectivity at the base in the left eye [Figure 11]. Fluorescein angiography of the right eye was unremarkable and there was a window defect in the left eye corresponding to the full thickness macular hole [Figure 12].

Bottom Line: Laser pointers are practical and safe training tools when used properly.The ocular and visual morbidity can result in significant expenses for medical care and inability to work (temporarily or permanently) for civilians and military personnel.We present three cases of soldiers who experienced vision loss following exposure to laser pointers, while celebrating successful football game.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Armed Forces Hospital, Muscat, Sultanate of Oman.

ABSTRACT
Laser pointers are practical and safe training tools when used properly. If used incorrectly they can cause ocular damage, potentially resulting in devastating vision loss. The ocular and visual morbidity can result in significant expenses for medical care and inability to work (temporarily or permanently) for civilians and military personnel. We present three cases of soldiers who experienced vision loss following exposure to laser pointers, while celebrating successful football game.

Show MeSH
Related in: MedlinePlus