Email this article Clinical cases of laser-induced macular damage in children
- Authors: Kogoleva L.V.1, Bobrovskaja J.A.1, Kokoeva N.S.1
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Affiliations:
- Helmholtz National Medical Research Center of Diseases
- Issue: Vol 16, No 1 (2021)
- Pages: 39-46
- Section: Case reports
- URL: https://ruspoj.com/1993-1859/article/view/75813
- DOI: https://doi.org/10.17816/rpo2021-16-1-39-46
- ID: 75813
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Abstract
Purpose: To study the features of the clinical and functional state of the eyes in children after laser damage to the retina.
Material and methods: We examined six patients who incurred retinal photodamage (nine eyes) after using a laser pointer.
Results: It was shown that laser-induced damage to the macula led to a decrease in vision in five of the nine eyes, which correlated with changes in the parameters of the rhythmic and macular electroretinogram. The main pathognomonic symptom of photo damage to the macula is the presence of signs of local destruction of the pigment epithelium and the ellipsoid zone of the retina, according to optical coherence tomography (OCT). In two cases, after a macular burn, a neovascular membrane formed, which led to an irreversible decrease in vision.
Conclusion: Uncontrolled use of household laser devices (pointers) by children can lead to severe visual impairment. For this reason, the main priority should be prevention, conducting active sanitary and educational work, informing teachers, parents, and children about the potential harm, and timely detection and treatment of retinal photodamage.
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About the authors
Ljudmila V. Kogoleva
Helmholtz National Medical Research Center of Diseases
Email: kogoleva@mail.ru
ORCID iD: 0000-0002-2768-0443
SPIN-code: 2241-7757
MD, PhD, Dr of Med. Sci
Russian Federation, MoscowJulia A. Bobrovskaja
Helmholtz National Medical Research Center of Diseases
Author for correspondence.
Email: bobrula1980@mail.ru
ORCID iD: 0000-0001-9855-2345
MD
Russian Federation, MoscowNina Sh. Kokoeva
Helmholtz National Medical Research Center of Diseases
Email: ninoofta@mail.ru
ORCID iD: 0000-0003-2927-4446
MD
Russian Federation, MoscowReferences
- Cherepnin LI, Cygankova AI, Sypina YuV, Epsanova NV. Clinical cases of retinal damage in everyday life by infrared radiation from a laser pointer. Sovremennye tekhnologii v oftal’mologii. 2018;(2):280–281. (In Russ).
- Lintan E, Walkden A, Kelly SP. Retinal burns from laser pointers: a risk in children with behavioural problems. Eye (Lond). 2019;33(3):492–504. doi: 10.1038/s41433-018-0276-z
- Lee GD, Baumal CR, Lally D, et al. Retinal injury after inadvertent handheld laser exposure. Retina. 2014;34(12): 2388–2396. doi: 10.1097/IAE.0000000000000397
- Marchal J. The safety of laser pointers: myths and realities. Br J Ophtalmol. 1998;82(11):1335–1338. doi: 10.1136/bgo.82:11.1335
- Bravsar KV, Wilson D, Margolis R, et al. Multimodal imaging in handheld laser-induced maculopathy. Am J Ophthalmol. 2015;159(2):227–231. doi: 10.1016/j.ajo.2014.10.020
- Fujinami K, Yokoi T, Hiraoka M, et al. Choroidal neovascularization in a child following laser pointer-induced macular injury. Jpn J Ophthalmol. 2010;54(6):631–633. doi: 10.1007/s10384-010-0876-z
- Zhang L, Zheng A, Nie Y, et al. Laser-induced photic injury phenocopies macular dystrophy. Ophthalmic Genet. 2016;37(1):59–67. doi: 10.3109/13816810.2015.1059458
- Hanson JV, Sromicki J, Mangold M, et al. Maculopathy following exposure to visible and infrared radiation from a laser pointer: a clinical case study. Doc Ophthalmol. 2016;132(2):147–155. doi: 10.1007/s10633-016-9530-5
- Keles A, Karaman SK. Intravitreal aflibercept treatment for choroidal neovacularization secondary to laser pointer. Oman J Ophtalmol. 2020;13(3):146–148. doi: 10.4130/ojo.OJO_10_2019
- Chen YY, Lu N, Li JP, et al. Early treatment for laser-induced maculopathy. Chin Med J (Engl). 2017;130(17):2121–2122. doi: 10.4103/0366-6999.213412
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