Pediatric Bilateral Blue Laser Pointer-Induced Maculopathy

Abstract

Background: We report the first case of pediatric bilateral blue laser pointer maculopathy with complete resolution of visual symptoms. Case: A 12-year-old boy presented with bilateral decreased visual acuity and central scotomata after blue laser pointer exposure. He was treated with a Medrol Dosepak and topical nonsteroidal anti-inflammatory drug (NSAID), with gradual visual acuity improved from 20/40 OU to 20/20 OU over 22 weeks, but with persistent evidence of outer retinal layer disruption from the external limiting membrane to the interdigitation zone. Conclusion: Oral steroids and topical NSAIDs may be effective in improving visual outcomes in laser pointer maculopathy in the pediatric population.

Keywords

• Laser pointer
• Maculopathy
• Retinopathy
• Photic retinopathy
• Solar retinopathy