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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.

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      research-article
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      ScienceOpen Preprints
      ScienceOpen
      laser induced maculopathy, corticosteroids, lutein, laser retinal injury, OCT findings
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            Abstract

            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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            Author and article information

            Journal
            ScienceOpen Preprints
            ScienceOpen
            5 September 2021
            Affiliations
            [1 ] Moorfields Eye Hospital
            [2 ] University College London Medical School
            Author notes
            Article
            10.14293/S2199-1006.1.SOR-.PPLCCAY.v1
            b5ca68e8-f684-4db2-96c1-156097c4f1c5

            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 .

            Funding
            No funding received N/A

            All data generated or analysed during this study are included in this published article (and its supplementary information files).
            Medicine
            laser induced maculopathy,corticosteroids,lutein,laser retinal injury,OCT findings

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