Customize your JAMA Network experience by selecting one or more topics from the list below.
Mainster MA, Stuck BE, Brown J. Assessment of Alleged Retinal Laser Injuries. Arch Ophthalmol. 2004;122(8):1210–1217. doi:10.1001/archopht.122.8.1210
Accidental retinal laser injuries are easily diagnosed when there areknown laser sources, typical macular injuries, and visual deficits consistentwith retinal findings. Decisions are more difficult when retinal findingsare subtle or absent, despite reported visual problems and somatic complaints.Inaccurate diagnosis of an ocular laser injury can precipitate a costly, lengthysequence of medical and legal problems. Analysis of laser-tissue interactionsand the characteristics of unambiguous retinal laser injuries provide 6 keyquestions to facilitate difficult diagnoses. Case reports demonstrate theusefulness of answering these questions before making diagnostic decisions.Retinal laser lesions that cause serious visual problems are readily apparentophthalmoscopically and angiographically. Accidental, intentional, or clinicalretinal laser lesions do not cause chronic eye, face, or head pains. Diagnosisof a retinal laser injury should be evidence based, not a matter of conjectureor speculation.
Create a personal account or sign in to: