Optical Coherence Tomography Angiography Findings in Laser Maculopathy
| Autor: | Luigi De Vitis, Lea Querques, Carlo La Spina, Rosangela Lattanzio, Giovanni Baldin, Lucia Benatti, Giuseppe Querques, Francesco Bandello, Adriano Carnevali, Livia Tomasso |
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| Přispěvatelé: | Tomasso, L., Benatti, L., La Spina, C., Lattanzio, R., Baldin, G., Carnevali, A., de Vitis, L. A., Querques, L., Bandello, F., Querques, G. |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Adolescent genetic structures Visual Acuity Outer plexiform layer Retinal Pigment Epithelium Multimodal Imaging Retina law.invention 03 medical and health sciences chemistry.chemical_compound Eye Injuries 0302 clinical medicine Retinal Diseases Optical coherence tomography law Ophthalmology medicine Humans Fluorescein Angiography Retinal pigment epithelium medicine.diagnostic_test business.industry Lasers Choriocapillaris Retinal General Medicine Laser Fluorescein angiography medicine.disease Optical coherence tomography angiography Thermal injury eye diseases Surgery medicine.anatomical_structure chemistry Laser pointer 030221 ophthalmology & optometry Maculopathy sense organs medicine.symptom business Tomography Optical Coherence 030217 neurology & neurosurgery |
| Zdroj: | European Journal of Ophthalmology. 27:13-15 |
| ISSN: | 1724-6016 1120-6721 |
| DOI: | 10.5301/ejo.5000844 |
| Popis: | Purpose Handheld laser pointer thermal injury affects primarily the retinal pigment epithelium (RPE). However, so far no study has reported on the possible effects of laser pointers in the deeper layers, beneath the RPE. Here, we describe the spectral-domain optical coherence tomography angiography findings in the choriocapillaris of a patient with laser maculopathy. Methods A 13-year-old boy presented to our department with decreased vision in the left eye 12 hours after having stared at the beam of a laser pointer. Results Structural optical coherence tomography (OCT) showed 2 focal hyperreflective columns at the fovea extending from the RPE, involving all outer retinal layers, and terminating at the outer plexiform layer. The patient also underwent OCT angiography (OCT-A), which in the choriocapillary segmentation revealed 2 hypointense lesions in correspondence of the focal hyperreflectivities detected on structural OCT. We hypothesize that the OCT-A findings could represent a rarefaction of the choriocapillaris. However, the choriocapillary OCT-A findings could also represent artifacts due to the overlaying hyperreflective lesions. Conclusions It is known that the RPE is primarily damaged by the laser injury. Our findings suggest that the thermal injury could involve also the choriocapillaris, and thus not limited to the RPE. Multimodal imaging in laser maculopathy including OCT-A may lead to a better comprehension of the pathogenesis of laser retinal damages. |
| Databáze: | OpenAIRE |
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