Recreational laser-induced choroidal neovascularization

An 11-year-old boy presented with bilateral blurred vision one month following direct exposure to a 532 nm green laser pointer (power < 1000 mW). Fundus photograph of right eye revealed a well-circumscribed scar at the fovea surrounded by subretinal hemorrhage [Fig. 1a]. Optical coherence tomography (OCT) demonstrated subretinal hyperreflective material [Fig. 1b]. Fundus fluorescein angiography [Fig. 1c] and OCT angiography [Fig. 1d] confirmed the presence of choroidal neovascularization. Similar findings were seen in the left eye.Figure 1: (a). Fundus photograph of the right eye showing a well-circumscribed scar involving the fovea surrounded by subretinal hemorrhage and pigmentary alterations. (b). Swept-source optical coherence tomography (OCT) of the right eye showing subretinal hyperreflective material (SHRM) at the center of the fovea, shallow neurosensory detachment at the edges of SHRM, disruption of the ellipsoid, and interdigitation zones in the parafoveal area. (c). Late phase fundus fluorescein angiography of the right eye showing hyperfluorescence within the foveal avascular zone. (d). Enface optical coherence tomography angiography (OCTA) of the right eye, showing vascular network and cross-sectional OCTA showing flow signal within SHRMLaser pointer-induced foveal injury is reported in the literature,[1] and this case underscores the potential severity of retinal injury caused by consumer-grade laser devices and highlights the need for stricter enforcement of safety regulations, public education, and responsible usage. Author’s contribution Sushma Raaj K: Literature search, data acquisition, manuscript preparation, manuscript editing. Varsha A: Data acquisition, manuscript editing, and manuscript review. Suchitra Biswal: Concept, manuscript editing, and manuscript review. Pradeep Sagar: Concept, literature search, data acquisition, manuscript preparation, manuscript editing, and manuscript review. Dasari Maheshkrishnantrivedi: Literature search, data acquisition, and manuscript review. Declaration of patient consent The author certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in this journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.