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    Review of 'Case of laser induced maculopathy and treatment outcome after use of corticosteroids and lutein. : Case report of a patient with accidental laser induced retinal injury and treatment outcome.'

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    Case of laser induced maculopathy and treatment outcome after use of corticosteroids and lutein. : Case report of a patient with accidental laser induced retinal injury and treatment outcome.Crossref
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    Case of laser induced maculopathy and treatment outcome after use of corticosteroids and lutein. : Case report of a patient with accidental laser induced retinal injury and treatment outcome.

     Anca Marinescu (corresponding) ,  Caterina Hall (2021)
    Introduction: A 30yopatient presented sudden decrease of left vision and metamorphopsia after staring at a laser in a nightclub five days before. Results: At presentation left visual acuitywas 6/18-2 unaided improving to 6/12-2 pinhole.Dilated fundoscopy showed a yellow-orange foveolar lesion in the left eye. OCT showed an alteration of foveal anatomy involving predominantly the outer retinal layers, hyper-reflective vertical band and large cystoid change at the inner retina. There was an increase of foveolar thickness to 397µ.Treatment was with oral corticosteroids (Prednisolone 0.5mg/ Kg).At one week left visual acuityimprovedto 6/12+2.There were hardly any cystic changes, with less hyper-reflective band and disruption at the outer layer.Lutein capsules 20 mg daily were added at one week. At three weeks patient reported vision back to normal - the left visual acuity was 6/6-2 unaided. OCT showed near-complete restoration of macular structure. Conclusions: Positive clinical outcome with combined oral corticosteroids and lutein over a short period of time in a typical case – further review recommended of ideal treatment regimes for laser induced maculopathy.
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      Review information

      10.14293/S2199-1006.1.SOR-MED.APLCCAY.v1.RDVUIN

      This work has been published open access under Creative Commons Attribution License CC BY 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conditions, terms of use and publishing policy can be found at www.scienceopen.com.

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      This is an interesting case report. First, authors explained the potential dangers of lasers. Second, this article adds evidence that the combination of corticosteroids (prednisone 0.5 mg/kg) and lutein 20 mg daily (antioxidant and anti-inflammatory properties) might be a very useful therapy for laser induced maculopathy. 

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