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¹Ophthalmologist, Mengücek Gazi Training and Research Hospital, Department of Ophthalmology, Erzincan, Turkey
²Assistant Prof. MD., Mengücek Gazi Training and Research Hospital, Department of Ophthalmology, Erzincan, Turkey DOI : 10.37845/ret.vit.2020.29.29 In this case report we aimed to present the optical coherence tomography angiography (OCT-A) fi ndings of handheld laser-induced maculopathy (HLIM). The clinical course of a 17-year-old boy who stared at a laser beam accidentally for a second is provided. Retrospective review of the OCT-A imaging along with the other multimodal imaging that includes fundus photography, fl uorescein angiography, spectral-domain optical coherence tomography (SD-OCT) is used to demonstrate the HLIM lesions.Cystoid changes at the macula and the disruption of the outer retinal layers detected by the SD-OCT. The OCT-A revealed hyperrefl ective spots in the FAZ on the superfi cial and deep retinal layers and a hyporefl ective area on the choriocapillaris. After 1 month from the exposure, SD-OCT changes were resolved highly but the OCT-A fi ndings have mostly remained. In conclusion while the immediate SD-OCT characteristics are well known and highly specifi c for HLIM, these distinctive changes could resolve very quickly. At the absence of these fi ndings OCT-A could be in assistance of diagnosis. Keywords : Handheld laser-induced maculopathy, Optical coherence tomography angiography, Macula