Choroidal Neovascularization Secondary to Alexandrite Laser Exposure

Rui Wang, Charles C. Wykoff, Lynsey Christie, Daniel E. Croft, James C. Major, Richard H. Fish, David M. Brown

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Purpose:To report macular photic trauma after accidental occupational exposure to a 750-nm Alexandrite laser and management of secondary choroidal neovascularization.Methods:Institutional review board-approved retrospective case report.Results:A 30-year-old woman presented with immediate vision loss in her left eye after direct inadvertent exposure to a single discharge from an occupational 750-nm Alexandrite laser used for laser hair removal. Baseline Snellen visual acuity was 20/40 in the involved left eye. One week after the initial exposure, the patient experienced subjective visual decline to 20/50, was treated with oral prednisone, and then developed a subretinal hemorrhage (SRH) in the setting of choroidal neovascularization 2 weeks later, or 3 weeks after initial trauma. The patient subsequently received 5 intravitreal ranibizumab injections over 25 weeks with resolution of the SRH. Final visual acuity was 20/50.Conclusion:The present case documents development and management of subretinal hemorrhage associated with choroidal neovascularization following macular photic trauma after accidental occupational to a 750-nm Alexandrite laser.

Original languageEnglish (US)
Pages (from-to)244-248
Number of pages5
JournalRetinal Cases and Brief Reports
Volume10
Issue number3
DOIs
StatePublished - Jan 1 2016

Keywords

  • 750 nm Alexandrite laser
  • choroidal neovascularization
  • photic trauma
  • ranibizumab
  • retinal laser injury

ASJC Scopus subject areas

  • Ophthalmology

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