Gebara Aseel, Vofo Brice Nguedia, Jaouni Tareq
Department of Ophthalmology, Hadassah Medical Center, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Am J Ophthalmol Case Rep. 2024 Jul 18;36:102118. doi: 10.1016/j.ajoc.2024.102118. eCollection 2024 Dec.
To report a case of branch retinal artery occlusion (BRAO) following exposure to a blue laser pointer in a healthy 22-year-old male.
A 22-year-old healthy male presented with sudden visual field impairment in his right eye, occurring 18 hours after exposure to a blue laser pointer. He complained of an immediate persistent curtain-like obstruction in the upper visual field of the affected eye. Clinical examinations revealed BRAO in the inferior half of the retina, confirmed by Optical coherence tomography (OCT) showing edema. Fluorescein angiography indicated delayed filling and a focal hyperfluorescence area, consistent with a leak. Due to a lack of established management, the patient was offered follow-up care. Though reperfusion was observed on fluorescein angiography one month later, thinning of the retinal layers was evident on OCT, and there was no visual recovery.
In conclusion, laser pointers, though often considered innocuous, can lead to serious ocular damage. The clinical implications of laser-induced retinal injury are severe and sometimes irreversible, warranting special attention. The observed clinical course underscores the complex nature of such injuries and emphasizes the importance of awareness and caution regarding laser pointer use.
报告一例健康的22岁男性在暴露于蓝色激光笔后发生视网膜分支动脉阻塞（BRAO）的病例。
一名22岁健康男性在暴露于蓝色激光笔18小时后出现右眼突然视野缺损。他主诉患眼上半视野立即出现持续的幕状遮挡。临床检查发现视网膜下半部出现BRAO，光学相干断层扫描（OCT）显示水肿，证实了这一情况。荧光素血管造影显示充盈延迟和一个局灶性高荧光区，与渗漏相符。由于缺乏既定的治疗方法，该患者接受了随访。尽管一个月后荧光素血管造影观察到再灌注，但OCT显示视网膜层变薄明显，且视力未恢复。
总之，激光笔虽然通常被认为无害，但可导致严重的眼部损伤。激光诱导的视网膜损伤的临床影响严重，有时不可逆转，值得特别关注。观察到的临床过程强调了此类损伤的复杂性，并强调了对激光笔使用的认识和谨慎的重要性。
