Macular burn due to diode laser

Abstract

In this study, it was aimed to present a 26-year-old female patient with a macular burn due to a direct laser beam to the eye during laser epilation cleaning without turning off the device. The patient was a technician performing laser epilation.The patient's vision was found to be 2/10 on the Snellen chart. Anterior segment findings were found to be normal.Fundus examination revealed a hemorrhagic hypopigmented burn in the macula due to laser, hemorrhage in the vitreous, and color fundus photograph was taken in both eyes. Optical coherence tomography (OCT) showed a burn in the macular area.The patient was given oral steroids, topical steroids, and topical nonsteroid anti-inflammatory drugs (NSAIDs) and was called for examination on the 15th and 30th days.

Keywords

• Macular burn
• Diode laser
• Intravitreal hemorrhage

References

1. ANSI, Z 136.1, American National Standards Institute, American National Standard for the Safe Use of Lasers,(NY,10036),2000.
2. Denison University,http://www.denison.edu/sec-safe/safety/lasers/class.shtml,2000.
3. IEC (International Electrotechnical Commission), Radiation Safety of Laser Products, Equipment Classification, Requirements and User Guide, Publ. 60825-1.1, Geneva, Switzerland, 1998.
4. ANSI, Z 49.1, American National Standards Institute, American National Standard for Safety in Welding and Cutting Operations (NY), 1988.
5. Özcan M. Evaluation of Laser Devices in terms of Human Health and Elimination of Harmful Effects, Selcuk-Technical Journal, Volume 4, Issue: 3, 2005, 111-121.
6. Adjudua S.Mello M.J.Shedding some light on laser pointer eye injuries, Pediatric Emerg. Care. 2007;23:669-672.
7. Jbara D, Tiuseco K, Azar D. Unintentional macular injury following high-energy cosmetic laser calibration. Lasers Surg Med. 2023; 55: 159–163.
8. Chen X, Dajani OAW, Alibhai AY, Duker JS, Baumal CR. Long-Term Vısual Recovery In Bılateral Handheld Laser Poınter-Induced Maculopathy. Retin Cases Brief Rep. 2021;15(5):536-539.